DONOR INFORMATION

First Name*

Last Name*

Affiliation*

Alumni Graduation Year

Street Address*

City*

State

Zip Code or Country Code*

Other/Country

Email*

Preferred Phone Number*

Preferred Phone is:*

2020-21 ANNUAL GIVING CONTRIBUTION

Gift Amount*

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Gift Acknowledgment*

Please indicate how you would like to be listed in the Annual Report (donors are listed by first and last name unless otherwise specified. For example: Jane Doe, Jane & John Doe, or Jane Doe & John Smith.)

List me by name List as anonymous Other (indicate below)

Other: listing preference

I would like my gift to be (indicate designation below)

In honor of In memory of

In honor of (name)

In memory of (name)

Matching Gifts
Many companies will match or multiply their employees’ charitable donations. To see a list of many companies that have matching gift programs, please click here.

If you plan to facilitate a matching gift through your employer, please indicate the name of the company below and forward matching gift forms to Urban School, c/o Development Department, 1563 Page Street, San Francisco, CA 94117, or email Rebecca Thurber at rthurber@urbanschool.org.

Name of Matching Gift Company

Optional Gift Designation

If you would like to restrict your Annual Fund contribution, please specify where you would like the gift to be directed:

Would you like to receive information on how to include Urban in your estate plans? If so, please include your email here:

Alumni Class Note

Please send us a class note for our online alum newsletter BluesNotes:

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