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Donor Contact Information

Please enter your contact info. Only your names and organizations will be displayed on the website. Ask to Remain Anonymous to be listed as an Anonymous donor.

Remain Anonymous

Not Anonymous

Anonymous

First Name

First Name
First Name

Please add a first & last name for every Donor.

If you have multiple donors, please click "Add" for both First & Last Name.

Last Name

Last Name
Last Name

Donation Organization

Donation Organization
Donation Organization

Phone Number

Email Address

Address

Address 2

City

State

Zip Code

Where did you hear about the Plaza?

If other, please specify

Honoree Information

Honoree First Name

Honoree Last Name

Honoree Email

Relationship To Donor (If Relevant)

Areas of Acheviement

Other Areas of Acheviement

Other Areas of Acheviement
Other Areas of Acheviement

Please add one area of achievement per field.

Birth Year

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Has this Honoree Passed Away?

Yes, Honoree has Passed

Place of Birth

Place of Death (If Deceased)

Honoree Birth Year

Year of Death (If Deceased)

Her Story

Your Honoree's story will appear on the website, but will NOT appear on the inscription. You can edit the inscription below.

I will send the Biography later by mail or email

Honoree Photo

One file only.
100 MB limit.
Allowed types: gif jpg jpeg png.

I'll send the photo via email

I do not have a photo available

Women's Plaza Gift Information

How do you wish to commemorate your Honoree?

Engraved Paver, Large

Engraved Paver, Small

General Gift

Lighting Fixture

Students Only - 4x4 paver

How your inscription will physically appear

You may be contacted to update your inscription to fit in the engraving.

Donation Amount

How will you be donating?

I will mail my check paid in full. (Check made payable to the UA Foundation/Women's Plaza.)

I will pay online by credit card. (You will be emailed a link to the UA Foundation page after submitting this form.)

Other (please contact Arlette Cordery at arlette8@arizona.edu if other arrangements are needed.)

If Other, How will you be donating?

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Donor Contact Information

Honoree Information

Women's Plaza Gift Information