Julia Beveridge Award Presentation Ceremony

*Name:

*Address:

*City:

*State:

*Zip:

*Phone:

. .

*Email:

I would also like to contribute to the tradition of the Julia Beveridge Awards.

I am unable to attend but would like to contribute to the tradition of the Julia Beveridge Awards.

Please accept my contribution:

$10 (Friend)

$25 (Contributor)

$50 (Donor)

$100 or more (Julia Beveridge Society)
(Contributions of $25 or more will be noted in the awards program)

Other (please specify amount)

I prefer to pay:

Online	By Check
		Payable to IIT J. Beveridge
		Mail to:	Women's Services
			Attn: Lisa Montgomery 3241 S. Federal St., Suite 113 Chicago , IL 60616

*Indicates a required field