UM-St. Louis History Alumni Fund (Please print out form and send in with contribution)

Name ___________________________________

Enclosed is my contribution of $ _____________

____ Yes, I work for a matching gift Corporation.

Designation for funds:

Unrestricted _______________________________

Alumni Scholarship _______________________________

Burns Scholarship _______________________________

Rawick Award _______________________________

Thomas Knapp Scholarship _______________________________

Arthur Shaffer Scholarship _______________________________

Primm Lecture Series ________________________________

History Day ________________________________

I have included UM-St. Louis in my estate plan __________________

Please make check payable to UM-St. Louis "History Alumni Fund" and return to:
Andrew Hurley, Professor and Chair
Department of History
484 Lucas Hall
One University Blvd.
University of Missouri-St. Louis
St. Louis, MO 63121