Enclosed is my check in the amount of $____________
Name     ___________________________________
Address ___________________________________
City/State/Zip  ______________________________

Telephone       ______________________________

____Please use my donation for Scholarships.
I have enclosed a matching gift form   _____  yes     _____  no

Please accept my gift in ______ honor  _____ memory

of:  ____________________________________________

Send notification of honor/memory gift to:

Name     ___________________________________

Address  ___________________________________

City/State/Zip  _______________________________

Please check if applicable:

_____ I have included UDLLI or UD in my estate plan.
_____ I am interested in life income or other deferred giving plans to benefit UDLLI, the College of Arts and Sciences or UD.

Please return this form with your check made payable to:

     "University of Dayton/LLI" to:

      University of Dayton 

      Special Programs and Continuing Education

      College of Arts and Sciences

      300 College Park

      Dayton OH 45469-1350

Please charge my (check one)

_____  VISA     _____  Mastercard     _____  Discover

Card Number  ________________________________

3-digit V-Number (from reverse of card)

Expiration Date  _______________________________

Signature       _________________________________