Class of 1968 pledge/gift form

First Name:*

Last Name:*

Maiden Name:

Email:*

Phone Number:*

Please check all the options that apply to you:

Name Regis in your Will (or another planned gift)

Name Regis as a beneficiary

Directly contribute Required Minimum Distribution funds

Make an outright gift.

If you have selected one of the first three options, please contact Amy Carney @ 781-768-7238.

Designate my gift to

Where it's Most Needed

Patricia Grosz Korzendorfer Scholarship

Total Amount:

By checking this box you are acknowledging your pledge commitment or gift as indicated above. *