Terms and Conditions


Donor Information
First Name*
Middle Initial
Last Name*
Maiden / Graduation Name
Rivier Graduation Year (if applicable)
Home Phone (Area code required)*
Does your company or your spouse's company offer matching gifts? (Yes/No)
Home Address*
State / Region / Province
Zip / Postal Code
If you received a brochure or letter in the mail, please enter the code found on the pledge card.

Donate To
Rivier UniversityDonation Amount
Annual Fund   $


Total: $  0.00

Payment Method & Account Information

Please provide your payment type and payment account information.

Effective Payment Date 10/9/2015
E-mail Address*

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NP_2015.1 (Build 1004)