Giving to Cerro Coso: Give a Gift to CCCC

Name:   Relation: Alumna/us Parent Friend Student Faculty Staff Other   Class of:

Spouse:   Relation: Alumna/us Parent Friend Student Faculty Staff Other   Class of:

Parent of:   Relation: Alumna/us Parent Friend Student Faculty Staff Other   Class of:

Address: Home Business

Street:

City:

State/Province:

Zip/Postal Code:

Country:

Home Phone:

Alternate Phone:

Email:

Please retype Email:

I would like to:

Make a cash gift

Make a pledge

Give securities (Skip Gift Information and Payment Information)

I would like to designate my gift to the:

Alumni Fund

Other Fund:

Gift Amount: $
See Recognition Opportunities to find out more about giving at the various gift levels.

I would like to:

Give once - apply the above gift amount immediately

Give once - apply the above gift amount on this date: January February March April May June July August September October November December .

Give monthly - apply the above gift amount for: 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months , beginning January February March April May June July August September October November December .

Apply my gift in this manner:

I would like to pay via:

Credit Card

Contact Phone#:
If paying by credit card please include a phone number at which we may contact you to obtain payment information.

Check (payable to Cerro Coso Community College Foundation)

Please mail to:
Cerro Coso Community College Foundation, Inc.
3000 College Heights Blvd
Ridgecrest, CA 93555

Yes, I am eligible for matching gifts from my employer and will send the form to Cerro Coso College.

Cerro Coso Student Email Please leave this field empty.