Please complete this form and return it to the address below:

University of Pittsburgh
American Society of Civil Engineers Student Chapter
949 Benedum Hall
3700 O'Hara Street
Pittsburgh, PA 15261


Contact Name	_________________________________

Address		_________________________________

Address		_________________________________

City 		_________________________________

State 		_________________________________

Zip		_________________________________

E-Mail		_________________________________


__ Yes, I would like to support the University of Pittsburgh’s ASCE Competition Team with a 

donation of _______________.

   Please let my donation go towards the funding of:
   	__ The general competition fund
   	__ 24’ Box truck rental
   	__ Lodging
   	__ Team Transportation
   	__ Construction Materials
__ I would like to be contacted by a representative of one of the following teams to discuss the allocation of my donation:
	__ Steel Bridge Team
	__ Concrete Canoe Team
	__ Land Surveying Team
__ No, I am unable to support the University of Pittsburgh’s Concrete Canoe
   Team at this time, but please keep me in mind for future needs.


Thank you for your attention to this matter; it is greatly appreciated.

Checks can be made payable to: University of Pittsburgh