Antioch College Alumni Association — College Revival Fund

College Revival Fund

Contact Information	Donation Amounts & Disbursement Dates
First Name: Last Name: Address: City: State: Zip Code: Country: Phone: Email:	Amount: Date: Amount: Date: Amount: Date: Amount: Date: Total: $0 Please have an advisor contact me about how I might benefit my family, help Antioch College, and save on taxes.

Donate Today!

Do your part to help secure the future of Antioch College. Every gift counts. Donate today!

Submit your completed form online right now or download it and send to the address below.

Be Ashamed To Let It Die!

Send Form/Check To

Antioch College Alumni Assoc.
College Revival Fund
c/o Richard W. Daily LLC
621 17th St. Suite 1535
Denver, CO 80202

For Checks Without Accompanying Pledges

US BANK
266 Xenia Ave.
Yellow Springs, OH 45387

Please note on the memo line:
Account #130110698524

Make checks payable to:
Antioch College Alumni Assoc.

Please write "College Revival Fund" on your check.

My Pledge to Give

I hereby state my intent to make the donation set forth above to the Antioch College Alumni Association's COLLEGE REVIVAL FUND upon condition that there is evidence satisfactory to its Board of Directors that a plan has been adopted whereby:

A new governing board will be created, either inside or outside the Antioch University System, which will be responsible for hiring a president, engaging the Antioch faculty, and continuing the operations of Antioch College; and
My donation will be managed by the Antioch College Alumni Association Board of Directors and will not be within the control of Antioch University

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