Institute for Peace Studies Donations

Amount *

$1,000 $500 $250 $100

Gift Frequency

Gift Designation

In honor/memory of:

Honorary Gift Memorial Gift

Please list the name(s) you would like to honor/memorialize.

Please list the address where you would like us to send notification of your honorary/memorial gift.

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Does your employer/company match charitable gifts?

Yes Not Sure

Please list your employer/company.

Full Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone

Area Code Phone Number

Work Phone

Area Code Phone Number

Cell Phone

Area Code Phone Number

E-mail

Total Gift

Gift Amount *

USD Thank you for supporting the mission of the Institute for Peace Studies.

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

If you experience an issue with this form, please send us an email with a brief description, or call 406.657.1042. We will address the issue as soon as possible.

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