CONCORDIA UNVERSITY, NEBRASKA
DAY OF GIVING
Order Summary
Transaction Date
Gift Amount
Designation
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General Mission
Academic Scholarships
Church Work Scholarships
Other
If other, specify:
Comments
Count my gift toward Weller Society for Leadership
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Yes
No
Credit Card Information
Name as on Card
Card Billing Address
Card Billing City
Card Billing State
Card Billing Zip Code
Phone Number
Home or Mobile?
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Mobile Phone
Home Phone
Email Addresss
Is this a company card?
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Yes
No
If yes, Company Name
Card Number
Card Expiration Date
Security Code (CVV2/CID)
Submit
Questions or comments? Please contact our Office of Institutional Advancement at 800-535-5494 ext. 7221 or email giftprocessing@cune.edu
