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Students Fellowship Fund Donation Form

YES I would like to help the School of Graduate Studies continue to attract talented students.
I have enclosed my check for the following amount:

$5,000
$2,500
$1,250
$500
$250
$125
Other $  

This donation is in honor of:

Name:

Institution/Company:

Title:

Address:

City/State/Zip:

Phone:

E-mail:

» Your donation is tax-deductible. Make your check payable to: HSCB Foundation.

» In the memo section write: AASGS Students Fellowship Fund.

» Please mail this completed form along with your donation to:

SUNY Downstate Medical Center
Alumni Association, School of Graduate Studies
c/o Ina Lancman
450 Clarkson Ave., Box 94
Brooklyn, NY 11203
For further information, please call (718) 270-4404
or e-mail  ina.lancman@downstate.edu

Your gift is important.

To continue to act as a magnet for young talent, the School of Graduate Studies needs your help.
The School provides a competitive academic environment for its students; with your help, it will provide competitive financial support as well.

Thank you for your support.