UCLA Student Affairs

	Contact Us! 220 Westwood Plaza, B36 Student Activities Center, Los Angeles, CA 90095-1570 Behind the stage in Westwood Plaza! Look for the rainbow flags in the window. Campus Code 157906 Phone 310.206.3628 Facebook Myspace lgbt@ucla.edu Center Hours Mon-Thurs 8:30AM-8PM Fri 8:30AM-6PM

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Supporting the UCLA LGBT Center

Celebrating 10 Years of Service!

The UCLA LGBT Center is one of a small number of such centers around the country. With our 4000+ volume LGBT library, the first david Bohnett Cyber Center for LGBT students, and 1600 square feet of what has become home to many LGBT and ally students, we provide outstanding, nationally recognized services to the UCLA LGBT community. With your support, we are able to continue and expand this great work. In fact, your support is an important symbol of the way our services are valued.

I hope you will consider making a contribution as we achieve the academic mission of UCLA by helping our LGBT students persist to graduation and become outstanding members of the community, wherever they may go.

Please don't hesitate to call me at (310) 206-3628 to talk about the substantial ways that you can help support this work.

Dr. Ronni Sanlo, Director

Title:
Name:
Address:
Telephone (Enter 10-digit #s. ex. 3102225555)
Email address
UCLA alumnus?	yes no
If so, year and degree
Please accept my gift of
...to be charged every
Please charge my gift to my:
Expiration date
Name as it appears on card
Account number
Donor Information Date of Birth: Day/Month
Gender
This is a gift with my partner. Partner's name
Would you like to be listed publically as a donor?	yes no
If you would like to honor someone with your gift, please indicate their name.
I am a UCLA faculty or staff person and would like to donate via payroll deduction. Please email the form to me.
Would you like to be contacted about a naming opportunity at the UCLA LGBT Center	yes no
Giving opportunities
1. Mentor $3,000. Student Leadership Award presented in your honor at the 2006 Lavender Graduation, your name engraved on the 10th anniversary commemorative plaque in the UCLA LGBT Center
2. Educator $5,000. a Student Leadership Award presented in your honor at the next five (2006-2011) Lavender Graduation ceremonies, your name engraved on the 10th anniversary commemorative plaque in the UCLA LGBT Center
3. Partner $10,000. a Student Leadership Award presented in your honor at the next five (2006-2011) Lavender Graduation ceremonies, your name engraved on the 10th anniversary commemorative plaque in the UCLA LGBT Center, a 2006-2007 academic year graduate student internship named in your honor (ex: The Rae Lee Siporin Internship at the UCLA LGBT Center), and an event to honor you.
4. 10th Anniversary Friend of the Center $25,000 your name engraved on the 10th anniversary commemorative plaque in the UCLA LGBT Center, a Student Leadership Award presented in your honor at the next five (2006-2011) Lavender Graduation ceremonies (ex: the Rae Lee Siporin LGBT Leadership Award), a two-year graduate student internship named in your honor (ex: The Rae Lee Siporin Internship at the UCLA LGBT Center), and an event to honor you.
5. Silver 10th Anniversary Friend of the Center $50,000 your name engraved on the 10th anniversary commemorative plaque in the UCLA LGBT Center, an endowed named internship position at the UCLA LGBT Center (ex: The Rae Lee Siporin Internship at the UCLA LGBT Center), and an event to honor you.
6. Gold 10th Anniversary Friend of the Center $75,000 your name engraved on the 10th anniversary commemorative plaque in the UCLA LGBT Center, and your name on one of the rooms at the UCLA LGBT Center in perpetuity. (ex: The Rae Lee Siporin Library at the UCLA LGBT Center), and an event to honor you.
7. UCLA LGBT Center in your name $5,000,000 your name on the UCLA LGBT Campus Resource Center in perpetuity and an event to honor you.
8. Rae Lee Siporin library
9. Rae Lee Siporin internship
10. General programs and services to students
11. Other

Privacy Notice: The 1977 California Information Practices Act requires UCLA to inform individuals asked to supply information about themselves of the following: UCLA is requesting this information to update general resource files of its University relations Departments. Furnishing the information is strictly voluntary and will be maintained confidentially. The information may be used by other University departments in the regular course of business but will not be disseminated to others except if required by law. You have the right to review your own data file. Inquiries should be forwarded to the Assistant Vice Chancellor-Finance and Information Management. UCLA University Relations Department, 405 Hilgard Avenue, Los Angeles, CA 90024.
Donor’s Consent The University is grateful for the support from friends and alumni. One of the ways our thanks is expressed is through listing the names of donors in various publications. Should you wish that your name appear as a donor, please notify us if you have not already done so.

The UCLA Foundation The UCLA Foundation is a California non-profit public benefit corporation organized for the purpose of encouraging voluntary private gift, trust, and bequests for the benefit of the UCLA campus. Responsibility for the governance of The Foundation, including investments, is vested in its Board of Trustees. The Foundation’s policy is to invest on a short-term basis all gifts until five percent (5%) of the principal is earned for the support of UCLA Development and related programs, unless gift instructions or appropriate campus administrator select to provide this amount immediately. With the exception of gifts for endowment purposes, additional investment will also support these activities. If you do not want to receive further fundraising communications from the UCLA LGBT Center, please contact Dr. Ronni Sanlo, UCLA LGBT Center, 220 Westwood Plaza, Suite B36, Los Angeles, CA 90095-1579.