Make a Pledge
Instructions To make your pledge to Chatham and to ensure accurate processing, please complete all items that are purple. Please note that pledges for the 2009-2010 Annual Fund are due in full by June 30, 2010. If you have problems using this form, please contact the Webmaster at Chatham University. STEP 1 : PERSONAL INFORMATION First Name : Middle Name : Last Name : Maiden Name : Address : City : State : Zip/Postal Code : Country : United States Afars/Issas Afghanistan Albania Algeria American Samoa Andorra Angola Antarctica Antiqua Argentina Aruba Ashmore and Cartier Islands Australia Austria Bahamas Bahrein Islands Bangladesh Barbados Belarus Belgium Bermuda Bhutan Bolivia Bosnia/Herzecgovina Botswana Bouvet Island Brazil British Honduras British Indian Ocean Terr British Solomon Islands Brunei Bulgaria Burma Burundi Cambodia Cameroon Canada Canton and Enderbury Islands Cape Verde Caymen Islands Central African Republic Central/Southern Islands Ceylon Chad Chile Christmas Islands China, Peoples' Republic Of Cocos Islands Colombia Comoro Islands Congo (Brazza Ville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Dahomey Denmark Dominica Dominican Republic Ecuador Egypt (United Arab Republic) El Salvador Equatorial Guinea Estonia Ethiopia Faeroe Islands Falkland Islands Fiji Finland France French Guiana French Polynesia French So./Antartic Lands Gabon Gambia Gaza Strip Germany Ghana Gibraltar Gilbert/Ellice Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti Heard/McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Iraq - Saudi Arabia Ireland Israel Israel-Syria DMZ Italy Ivory Coast Jamaica Jan Mayen Japan Johnston Atoll Jordan Kazakhstan Kenya Korea, Republic Of Kosovo Kuwait Laos Latvia Lebanon Lesotho Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madgascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinque Mauritania Maurituis Mexico Midway Islands Monaco Mongolia Montserrat Morocco Mozambique Muscat and Oman Myanmar Namibia Nauru Nepal Netherlands Netherlands, Antiles New Caledonia New Hebrides New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Morocco Pakistan Panama Papau and New Guinea Paracal Islands Paraguay Peru Philippines Pitcairn Island Poland Portugal Portuguese Guinea Puerto Rico Norway Qatar Reunion Rhodesia Romania Russia Rwanda San Marino Sao Tome And Principe Saudi Arabia Scotland Senegal Seychelles Sierra Leone Sikkim Singapore Slovakia Slovenia Somallia Solomon Islands South Africa Spain Spanish Sahara Sri Lanka St. Christopher/Nevis St. Helena St. Lucia St. Pierre/Miquelon Sudan Surinam Svalbard Swan Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Tasmania Thailand Tibet Toga Tokelau Islands Tonga Trinidad and Tobago Trucial States Trust Terr. of Pacific Islands Tunisia Turkey Turks/Calicos Islands Uganda Ukraine United Arab Emerates United Kingdom Uruguay US Caribbean Islands Vatican City Venezuela Vietnam, Republic Of Wake Island Wallis and Futina West Bank West Indies Yemen Yugoslavia Zaire Zambia Zimbabwe Phone Number : Email Address : Class Year : (ex. 1981) Primary Affiliation : Alumna Graduate alumnus Chatham faculty Chatham friend Chatham parent Spouse Staff member Current Student STEP 2 : PLEDGE INFORMATION Pledge Amount : $ Insofar as you are able, please direct my gift to support the following: Chatham University College for Women College for Graduate Studies College for Continuing and Professional Studies Class of 2010: Bringing Home the Bacon Other If Other: Will this gift be matched by your employer? No Yes If Yes, indicate the company name's below and mail your Matching Gift Form to Chatham University.
Instructions To make your pledge to Chatham and to ensure accurate processing, please complete all items that are purple. Please note that pledges for the 2009-2010 Annual Fund are due in full by June 30, 2010. If you have problems using this form, please contact the Webmaster at Chatham University.
Chatham University Office of Alumni Relations | Beatty House | Woodland Road | Pittsburgh, PA 15232 E-mail: alumni@Chatham.edu | Phone: 412-365-1517 | Fax: (412) 365-1610
Please keep in touch by updating your information now!