AD EX Donation Form Donate to the Architecture and Design FoundationDonation Amount $500 $1,000 $2,500 $5,000 OtherOther donation amount: Recurring DonationYou can change or cancel a recurring donation anytime by contacting AD EX. The amount you enter will be paid to this organization each month from your credit card. Make this a monthly donationHow would you like your gift to be applied? Let AD EX Decide Scholarships + Fellowships Endowment Funds Programs + Exhibitions Capital Campaign 5-Year Corporate CommitmentUse this donation for:Please select how you would like your gift to be applied.SCHOLARSHIPS + FELLOWSHIPS (click to expand drop down menu)SCHOLARSHIPS + FELLOWSHIPS (click to expand drop down menu)Select how you would like to apply your donation:Mary Kolb Berglund Traveling FellowshipMary McDermott Traveling FellowshipBill Millsap Memorial FellowshipDiversity in Architecture ScholarshipLatinos in Architecture ScholarshipPat Spillman Memorial ScholarshipPeter Goldstein Founder's ScholarshipWomen in Architecture Professional Development FundYoung Professionals Path to Licensure ScholarshipENDOWMENT FUNDS (click to expand drop down menu)ENDOWMENT FUNDS (click to expand drop down menu)Select how you would like to apply your donation:Design Awareness Endowment FundEducation Endowment FundGreg Brown Memorial Discover Your City Series Endowment FundPermanent Endowment FundAD EX PROGRAMS + EXHIBITIONS (click to expand drop down menu)AD EX PROGRAMS + EXHIBITIONS (click to expand drop down menu)Select how you would like to apply your donation:AD EX ExhibitionsAD EX K-12 Programming + CampsAD EX ProgrammingName* First Last CompanyAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands PhoneEmail* Is this donation anonymous or in honor of someone?Is this donation anonymous or in honor of someone? I would like to remain anonymous This donation is in tribute to or in memory of someoneTribute Gift InformationPlease enter the name this gift is in honor or, a tribute to, or in memory of.Total Donation: $0.00 Credit CardAmerican ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Total $0.00 PhoneThis field is for validation purposes and should be left unchanged.
