Harriman-Jewell Series

Thank you for supporting the Harriman-Jewell Series. You will receive a written acknowledgement of your gift soon.

Donation Information
Amount:	$     *
Additional Information
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Anonymous:	I prefer to make this donation anonymously
Billing Information
Title:	Admiral Ambassador Bishop Brigadier Brigadier General Brother Canon Captain Chaplain Coach Colonel Commander Congressman CSM Dean Detective Sergeant Dr. Drs. Ens. Father General Governor Judge Lieutenant Lieutenant Colonel Lieutenant Commander Lieutenant General Madam Major Major General Major Sergeant Master Mayor Miss Mr. Mrs. Mrsq. Ms. Pastor President Professor Rabbi Rear Admiral Representative Reverend Reverend Dr. Senator Sergeant Sergeant Major Sir Sister Specialist First Class State Representative The Honorable Mastor Sergeant
First name:
Last name:		*
Country:	Argentina Australia Austria Bahrain Belgium Bolivia Brazil British Columbia Bulgaria Cambodia Canada Chile China Czech Republic Dominican Republic East Africa Ecuador England Finland France Germany Ghana Grand Cayman Great Britain Greece Guam Hong Kong Iran Italy Jamaica Japan Kenya Korea Kosovo Lithuania Macedonia Malaysia Mexico Moldova Morocco Netherlands New Zealand Nigeria Norway Panama Poland Russia Samoa Saudi Arabia Scotland Singapore Slovakia South Africa South America South Australia South Korea Spain St Kitts Sweden Switzerland Taiwan Tanzania Thailand Turkey United Arab Emirate United Kingdom United States Venezuela West Africa West Indies
Address lines:		*
City:		*
State:	<Please Select> AA AC ACT AE AL AK AB AS AP AZ AR BC CA CZ CO CT DE DC FM FL FO GA GU HI ID IL IN IA KS KY LA ME MB MH MD MA MI MN MS MO MT NE NV NB NH NJ NM NSW NY NL NC ND MP NT NS NU OH OK ON OR PW PA PE PR QC RI SK SC SD TN TX UT VT VIC VI VA WA WV WI WY YT	*
ZIP:		*
Phone:
Email:		*
Payment Information
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	American Express Diner's Club Discover Mastercard Visa	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028	*
Card Security Code:		*
Matching Gifts
	My company will match my gift
Company:		*

Please direct inquiries regarding tickets for the March 6 event to Susan Tideman at 815-415-7550 or tidemans@william.jewell.edu.