Alumni Contributions

Please print out this form and mail it to the address below:

My check for $_______________ is enclosed.

Name ___________________________________________________________

Address _________________________________________________________

City ________________________ State _____________ Zip ______________

Degree (1) __________________________________ Year ________________

Degree (2) __________________________________ Year ________________

Degree (3) __________________________________ Year ________________

Please make checks payable to Clark Atlanta University and mail them along with this form to:

Clark Atlanta University
c/o Office of the Dean, School of Education

Thayer Hall, Room 124
223 James P. Brawley Drive, S.W.
Atlanta, GA 30314