Dr. Mohammad Mossadegh Leadership Fund

at Northeastern Illinois University

Northeastern Illinois University Foundation

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(Contribution Form)

 

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 ___ Yes, I would like to help t Dr. Mohammad Mossadegh Leadership Fund to increase its endowment to $50,000.00 by June 16, 2007, the 125^th birthday of Dr. Mossadegh.

__ Yes, You may publicly list my name as a contributor to the Fund.

__ No, please do not publicly list my name as a contributor to the Fund.

Name (please include your title, Mr., MS., Dr.):

Mailing Address:

Telephone:

E-mail:

___ I would like to give a Contribution of (please circle or write in):

$1000.00         $700.00           $500.00           $300.00           $200.00           $100.00

$50.00 $25.00 Other: $__________

Please make your checks payable to: NEIU Foundation/

Dr. Mossadegh Fund  (please be sure you mention Dr. Mossadegh Fund)

Please use the enclosed envelop to send this form and your check to:

Northeastern Illinois University Foundation

5500 N. St. Louis Ave.

Chicago, IL 60625

For more information, please contact:

Dr. Hamid Akbari, Department of Management and Marketing

Northeastern Illinois University, 5500 N. St. Louis Ave.

Chicago, IL 60625

Telephone: (773) 442-6126

E-mail: h-akbari@neiu.edu

Thank you for your contribution.  Your gift is tax deductible to the extent permitted by law