Sign up to become a Giving Day Bobcat Ambassador!

Use this form to sign up to serve as a Peru State Giving Day Ambassador. You may also contact the Foundation at 402-872-2304 or pscfoundation@peru.edu.

Name Name Title First Middle Last Suffix
Maiden Name
Class Year
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
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Cell Phone Cell Phone - ### - ### ####
Work Phone Work Phone - ### - ### ####
Email