Anita Thigpen Perry Endowment for the Center for Community Based Health Promotion in Women and Children

The Anita Thigpen Perry Endowment for the Center for Community Based Health Promotion in Women and Children supports research and education in health promotion of women and children in the School of Nursing.

To make a gift to the Anita Thigpen Perry Endowment for the Center for Community Based Health Promotion in Women and Children, complete and submit the form below.

 

Gift Level
Amount:	$ 5,000.00 $ 2,500.00 $ 1,000.00 $ 500.00 $ 250.00 $ 100.00 Other $     *
Gift Information
Type of gift:	One-time gift Recurring gift Installments
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Corporate:	This donation is on behalf of a company
Comments:
Billing Information
Title:	<Please select> (Ret.) 1st Lieutenant 2nd Lt. Admiral Admiral [Ret.] Archbishop Bishop Brigadier General Brigadier General (Ret.) Captain Chairman Chancellor Chief Colonel Colonel (Ret.) Commander Commissioner Congressman Consul General Councilman Councilmember Councilwoman Deacon Dean Dr. Dr. Reverend Ensign Father General General (Ret.) General Counsel Governor Honorable Judge Lieutenant Lieutenant (Ret.) Lieutenant Governor Major Major (Ret.) Major General Major General (Ret.) Master Master Sergeant Master Sergeant (Ret.) Mayor Miss Monsignor Mr. Mrs. Ms. Pastor President Professor Rabbi Rear Admiral Regent Representative Reverend Reverend Deacon Secretary Senator Sergeant Sergeant Major Sister State Representative The Honorable The Most Reverend The Most Reverend Bishop The Reverend The Reverend Doctor The Right Reverend The Very Reverend U.S. Magistrate USA (Ret.) USAF Lt. Col. Vice Admiral Vice Chairman	*
First name:		*
Last name:		*
Country:	AFRICA AUSTRALIA AUSTRIA BAHRAIN BELGIN BELGIUM BRAZIL CANADA CENTRAL AMERICA CHILE CHINA COLUMBIA DOMINICAN REPUBLIC ENGLAND ESSEX FRANCE GERMANY GREECE GUATEMALA HAITI HOLLAND ICELAND INDIA IRAN IRELAND ISRAEL ITALY JAPAN KOREA MALAYSIA MEXICO NETHERLANDS NEW ZEALAND NIGERIA NORTHERN IRELAND PAKISTAN PANAMA PHILLIPINES Puerto Rico REPUBLIC OF CHINA SAUDI ARABIA SCOTLAND SOUTH AMERICA SPAIN SWEDEN SWITZERLAND TAIWAN THAILAND THE NETHERLANDS TURKEY UNITED ARAB EMIRATES UNITED KINGDOM United States VENEZULA WEST INDIES	*
Address lines:		*
City:		*
State:	<Please Select> AA AE AL AK AB AS AP AZ AR BC CA CZ CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MB MH MD MA MI MN MS MO MT N/A NE NV NB NH NJ NM NY NL NC ND MP NT NS NSW NU OH OK ON OR PW PA PE PR QC RI SK SC SD TN TX UT VT VI VA WA WV WI WY YT	*
ZIP:		*
Phone:		*
Email:		*
Payment Information
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	American Express Diners Club Discover MasterCard Visa	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032	*
Card Security Code:		*
Matching Gifts
	My company will match my gift
Company:		*
Additional Security
This is a security measure to help prevent fraud.
Unable to load the reCAPTCHA image. The public key (6Lc2ML8SAAAAADPI4McEoAU5TWX-FEwsIihSPj2E) might be invalid for this domain. reCAPTCHATM Enter the text: Type what you hear: * Get a new challenge  |  Get an audio challenge Get a visual challenge