Development Fund Donation Form

Date (mm/dd/yyyy)

Donor's Name*

Donor's Address 1*

Donor's Address 2

Tel*

Email Address*

1. Donation

Cash Donation

Item(s)Donation

2. Relationship with ISSH

Alumnae

Family of Current Students

Family of Alumnae

Faculty and Staff

Others

3. May we use your name in our Publications (Newsletter, Website etc.)?

yes no

Please provide an email address where we can send a link to your current form.

Email Address :