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General information:

ATSU annual
giving clubs:

  • Centennial Circle
    $10,000
  • Curator's Circle
    $5,000
  • Trustee's Circle
    $2,500
  • President's Circle
    $1,500
  • Dean's Circle
    $1,000
  • Ambassador
    $500
  • Advocate
    $100
  • Friend
    $99/less

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A.T. Still University Home

Kirksville preferred merchants

Contribution Form for KPM

*Required fields

$10,000 - Centennial Circle
$5,000 - Curator's Circle
$2,500 - Trustee's Circle
$1,500 - President's Circle
$1,000 - Dean's Circle
$500 - Ambassador
$100 - Advocate
*Business Name:
Business Address:
City: State: Zip:
*Phone: Fax:
*Email:
*Card type:
*Personal or Corporate: Personal
Corporate, Name of Corporation
*Credit card number: (No dashes or spaces)
CVN #:
*Expiration Date: Month   Year
*Name as it appears on credit card:

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