| First Name: | |
| Last Name: | |
| Address: | |
| City: | |
| State: | |
| ZIP: | |
| I am a: | |
| If you attended Haskell, what years? (if applicable) | |
| What did you study? (if applicable) | |
| Tribal Affiliation? (if applicable) | |
| Specific fund you’d like your contribution to benefit (if applicable) | |
All donations will be deposited into the Foundation’s General Fund.
Please contact our office if you would like your contribution to go toward a specific fund at
(785) 749-8425 or [email protected] |
