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Amount of Contribution to Scholarship/Gift: $ _______________________

Check Amount $_____________________________ or

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Account Number:____________________________

Expiration Date:_____________________________

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Please Make Check Payable to:
NMSU Foundation

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Scholarships: (check one)

Clemons Field Memorial Scholarship # 42218____

John Kalesky Memorial Scholarship # 72580____

Geological Science General Scholarship # 62714____

Gift Account # 62190____

Seager Fund For Field-Based Research # 82582_____


Dept. Geological Sciences/MSC 3AB
New Mexico State University
P.O. Box 30001
Las Cruces, NM 88003