Ever Faithful, Ever Loyal

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Where would you like your gift to go?
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Amount to Give*
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Please select
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Send acknowledgement card?
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In memory of:
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Send to: Full Name
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Address
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City
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State
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Zip
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Acknowledgement From:
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Person or persons to be honored
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Existing pledge number
*Please see your reminder
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Is your spouse a UAB alumnus
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Spouse Name
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Your Information

Salutation
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First Name*
Please enter your first name.

Middle Name
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Last Name*
Please enter your last name.

Suffix
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Other name:
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Country
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Address Line 1*
Please enter a valid address.

Address Line 2
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City*
Please enter the city.

State*
Please enter a state.

Postal Code*
Please enter a zip code.

Primary Phone*
Please enter a phone number.

Secondary Phone
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Email*
Please enter an email address.

Relationship
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Years attended
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Submit Payment

Payment type
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Blazer ID*
Your BlazerId should be 8 or less alphanumeric characters. Please do not include "@uab.edu."

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How many months?
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Recurring Gift Total
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Today's Gift Total
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Gift Total
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Amount can be adjusted in 'Amount to Give' near the top of this form.

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Need assistance? If you have questions or require support please contact us by email at Gifts@UAB.edu, or by phone at 205-934-7242 .