Asbury Theological Seminary

Asbury Theological Seminary

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1. Contact Information
*First name *Last name
*Address 1 Address 2
*City *State
*Zip *Country
*Daytime Phone *Email
Relationship to School:


2. Gift Information

*Gift Amount:
*Direct my gift to:
Special Instructions :
For honorary or memorial gifts, please include in Special Instructions the name of the person being honored/memorialized and the name and address of the person to whom you would like the acknowledgement sent.

My employer may match this gift. Employer:
Will my employer match my gift?


3. Payment Information

*First name             *Last name 
*Address 1 Address 2
*City *State
*Zip *Country

Card Type Card Number

Security Code: (3 or 4 digit code on back of card)   

Expiration Month: Expiration Year:
 *First Name on Card *Last Name on Card

  • Kentucky Campus // 204 N. Lexington Ave. | Wilmore, KY 40390 | 859.858.3581
  • Florida Dunnam Campus // 8401 Valencia College Ln. | Orlando, FL 32825 | 407.482.7500

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