In Memory of Robert A Swanson (1969)

O I enclose my gift of
$50 ___ $100 ___ $500 ___ $2000 ___ $5000 ___

Other - ____________________________________
(Please make your check payable to MIT.)

This gift is eligible for a matching contribution from the following company:

____________________________________________________________

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O Please charge this gift to my:

___VISA ___MASTERCARD ___AMERICAN EXPRESS

Account Number: ________________

Expiration Date: _____________

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O I pledge an additional $ ____________________ to be paid

by _________________________________

I would like to be reminded about the above pledge in:
(check one) O February O May

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O I am sending securities. Documentation will be

forwarded on ______________________ (approx. date)

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Please use my gift for the following purpose:

O Class of 1969 Paul E. Gray Scholarship (3387800)

O Robert A. Swanson (1969) Memorial Lectureship (3109000)

O Robert A. Swanson (1969) Memorial Scholarship (3564301)

Other ____________________________________________

To make your gift on-line go to: http://web.mit.edu/giving/

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Name _______________________________________________

Address _____________________________________________

City. State. Zip _______________________________________

EMAIL Address ______________________________________

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Send this form to:

THE MIT ALUMNI/AE FUND
MASSACHUSETTS INSTITUTE OF TECHNOLOGY
77 MASSACHUSETTS AVE RM 10-110
CAMBRIDGE MA 02139-9988

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Robert Swanson 1969 Memorial Letter
A printable copy of the letter in Adobe Acrobat .pdf format
A printable copy of this donation form in Adobe Acrobat .pdf format
To make your gift on-line go to http://web.mit.edu/giving/.

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Last modified on 2004 May 19