AD EX Donation Form

Donation Amount

Other donation amount:

Recurring Donation

You 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 donation

How would you like your gift to be applied?

Let AD EX Decide
Scholarships + Fellowships
Endowment Funds
Programs + Exhibitions

Use this donation for:

Please select how you would like your gift to be applied.

SCHOLARSHIPS + FELLOWSHIPS (click to expand drop down menu)

ENDOWMENT FUNDS (click to expand drop down menu)

AD EX PROGRAMS + EXHIBITIONS (click to expand drop down menu)

Name*

First Last

Company

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email*

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 someone

Tribute Gift Information

Please enter the name this gift is in honor or, a tribute to, or in memory of.

Total Donation:

$0.00

Credit Card

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Card Number Expiration Date Security Code Cardholder Name

Total

$0.00

Name

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