Support the Center

*designates required field

*Name
Spouse's name
*Address

*City
*State
*Zip
Country
*E-mail
Home Phone

Please designate my gift for

	Catharine Cookson Visiting Scholar Fund: This fund helps bring renowned scholars to Virginia Wesleyan to speak on religious freedom and related issues.
	CSRF Program Enhancement Fund: This fund allows the Center to strengthen its public educational other programs.
	CSRF Publication Fund: This fund will help expand Center publications relating to religious freedom.

Select gift amount

$1,000
$500
$250
$100
$50
Other: $ (Please only use numbers to indicate your gift amount.)

I wish to fufill my commitment in the following manner

Mail a check	To donate by check download the printable gift form and mail it to: Virginia Wesleyan College College Advancement 1584 Wesleyan Drive Norfolk, VA 23502
Credit card
Card number
Expires	/
Name on card

Thank you for your support.
Please direct questions or comments to:
Virginia Wesleyan College
College Advancement
1584 Wesleyan Drive
Norfolk, VA 23502
(757) 455-3242

I have some additional comments

The information submitted by this form is transmitted in encrypted form to our secure server to protect your confidentiality. Our Secure Server ID is verified and signed by VeriSign, Inc.