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Summary: I am pleased to support UCLA with my gift of:
c $10,000 c $5,000 c $2,500
c $1,000 c $500 c $250
c Other$_______
Direct my gift to:
c Chancellor'sGreatestNeeds(0440)forUCLA's
highestpriorities
c BruinScholarsInitiative(310080)forgraduate
fellowshipsandundergraduatescholarships
c Highestprioritiesofthisschoolordepartment:
_____________________________Fundnumber:________
c Other:________________________Fundnumber:________
If you do not designate an area or program, your gift will support
the Chancellor's Greatest Needs (0440).
Donor Information
Name:__________________________UCLAclassyear:______
Address:____________________________________________
City/State/Zip:____________________________________
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