Please print and mail the completed form along with your gift to:

Queens College Foundation
Office of Development
65-30 Kissena Blvd.
Flushing, NY 11367-1597

Donor Information

Name
First Name:
Middle Initial:
Last Name:
Home Address
Street:
Apartment:
City:
State/Province:
ZIP Code:
Phone:
E-mail:
Employment Information (optional)
This is a matching gift company. Please submit your company's matching gift form with your contribution.
Employer:
Work Address:
City:
State:
ZIP Code:
Work Phone:
Extension:
Occupation:
Title:
Queens College Alumni Affairs
I am a/an: alumnus parent/grand parent faculty/staff friend
For QC alumni
I am a graduate of: Year:
Gift Information
Gift Amount  
I would like to make a gift of $
Check is enclosed (payable to: Queens College Foundation - FNES)
Gift Designation
I would like to designate my gift to support (please also write on check)
My gift is unrestricted, please use where the need is greatest.
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Thank you for your generosity!