First Name	M.I.	Last Name

Address

City	State	Zip Code

Country	Email Address

Home Telephone	Work Telephone

UC Davis Affiliation
alumnus  friend  faculty/staff  other

Comments

Gift Information

Total amount of gift to the General International Fund for Excellence

Is this a memorial gift or tribute?
memorial  tribute  neither 

Gift made in memory of / in tribute to

Notify the following party of this gift (name and address)

Please contact me regarding:
Naming Opportunities
Estate Planning, Wills, and Trusts
Gifts of Appreciated Stock, Securities, and Real Estate
Current Activities in University Outreach and International Programs