Please: 1. Print this page 2. Complete the form 3. Enclose the form + your check (unless using a credit card) and mail to:
California State University, Los Angeles
Yes! I/we would like to become a member of Friends of Engineering, Computer Science, and Technology (FECST) at California State University, Los Angeles. I/we have enclosed a contribution for the current academic year and have checked the appropriate category below. I/we understand that contributions are tax deductible and will be used to support Engineering, Computer Science, and Technology programs at CSULA.
|___ Friend of ECST ($100)|
___ Sustaining Member ($150)
___ Patron ($200)
|___ Sponsor ($300)|
___ Benefactor ($500)
___ Distinguished Benefactor ($1,000 or more)
___ I have enclosed a check for $____________ made payable to Friends of ECST.
___ You may charge this donation to my ___Mastercard ___Visa account.
Card#________________________________ Exp. Date________________________
Please print your name(s) exactly as you wish it to
City___________________________________ State_____ Zip Code_____________
Telephone (____) __________________ Email address:_________________________
If your employer supports matching gifts, please list your company name below: