The University of St. Thomas

Development

Moskalik Society Membership Form

Moskalik Society Membership Form

George and Alice Moskalik Lifetime-Giving Society

Online Membership Form

Please fill out the following form in full. Thank you for your interest in the Moskalik Society!

Prefix:
First Name:
MI:
Last Name:
Suffix:
Spouse Name (if applicable):
UST ID (if known):
Address:
City:
State:
ZIP:
Class Year (if applicable):
Phone:
Email:

By joining the George and Alice Moskalik Society, I/we make a good-faith commitment to give an annual gift to support the University of St. Thomas.