Women's Resource Center
Please Print & Mail To:
Dr. Deltra Ferguson
Women's Resource Center
1250 Siskiyou Blvd.
Ashland, OR 97520
Printer Friendly Version Here (PDF)
Yes, I/we want to support the great work of the SOU Women's Resource Center and the on-going empowerment of women students!
I/We will contribute: ◊ $25 ◊ $50 ◊ $100 ◊ $250 ◊ $500 ◊ Other $ ________
Please apply this donation to the following fund:
◊ SAFE Sexual Assault Free Environment: sexual assault advocacy, risk reduction and
response
◊ Vivacious Voices Empowerment through Education and Expression: liberation through the
creativity and dialogue
◊ Circle of Fire Coalition Women: working together sustainably across all forms of difference
◊ New ERA Liberty & Justice for All: social justice through social change
◊ Changing Woman Health &Wellness: holistic health through education, prevention and
awareness
◊ Please contact me about a specific donation.
Payment options:
◊ Secure online donation at: www.soufoundation.org. (Please specify in the comments section that gift is for the Women's Resource Center and the fund you would like it applied to.)
◊ Enclosed check payable to: SOU Foundation - Women's Resource Center
◊ Please charge my credit card: ◊ VISA ◊ MasterCard ◊ AMEX ◊ Discover
Account #: _________________________________________ ____
Exp. Date: _______________________ ___
Name on Card (please print): ____________ ______________________
Signature: ____________________________ ______
Contact Information:
Name(s)_______________ ________________________
Address _________________ ______________________
City _______ __________________
State ______ _________________
Zip ___________ ______________
Phone _____________ _____________________
Email ______________ ______________________________
Alumna/us ___ Yes ___ No
If yes, year of graduation _________ Degree/Concentration ___________
Room: SU 101-103
wrc@sou.edu
1250 Siskiyou BlvdAshland, OR 97520
Phone:(541) 552-6216
Fax:(541) 552-6440