Yes, I would like to contribute to the Jerry Ellis Scholarship Fund.
My check made payable to the University of Maine Foundation in the
amount of $________ is enclosed. Or you may charge $________ to my
credit card below:
First Name:_______________________________________________
Last Name:_______________________________________________
City: ____________________ State: ______ Zipcode:____________
Telephone:___________________________
Name on Credit Card:_______________________________________
Credit Card No:____________________________________________
Expiration Date:_______________________________
Signature:________________________________________________
Return to Support Onward Students
Return to Jerry Ellis' Trek
Homepage
