Exam Survival Kit Order FormLoading...Thank you for encouraging a MC student during finals week by sending them a Finals Survival Kit. Your donation also helps make it possible for MC students to participate in summer missions experiences. Donor Information.First Name:Middle Name:Last Name:Email Address:Phone number: (Incase we have trouble getting in touch with students for delivery.)Mailing Address:Mailing Address:CountryStreetCityRegionPostal CodeBirthdate: (Please enter your valid birthdate. This will allow us to match you with any existing parent, alumni or donor records you are tied to in our system and ensure your account is credited with this donation in your lifetime giving totals.)Birthdate: (Please enter your valid birthdate. This will allow us to match you with any existing parent, alumni or donor records you are tied to in our system and ensure your account is credited with this donation in your lifetime giving totals.)JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember123456789101112131415161718192021222324252627282930312026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Survival Kit Recipients:Exam Period:Please enter the following information for each student receipent.DeleteStudent_Recipeint _ID_Student First Name: (Please provide the students legal first name)Student Last Name: (Please provide the students legal last name)Student phone number:Student's MC Email address:Residence Hall: (Commuters will be notified to pick-up their survival kit.)Select the Residence Hall of the Student receiving the survival kitCockroft-Caldwell HallCrestman HallEast TowerGunter HallHederman HallLatimer-Webb HallMary Nelson HallQuick HallRatliff HallUniversity PlaceWest TowerWhittington HallCommuterRoom Number:Room Number: - Commuter Default ValuePlease list any foods this student is allergic to?Note to student:Replicate Block Info Summary ----Doesn't workClick here to send a kit to an additional student. You may order up to 3 survival kits in 1 transaction.Donation Information:Donation Amount:Gift Type:Bank DraftCheckCredit CardPaypalGift Amount - Plain Text for record creationMake this a recurring paymentRepeat payment MonthlyQuarterlyBiannually (every 6 months)AnnuallyRecurring start dateRecurring stop dateEnd recurring payment afterNo End Date543210years1234567891011monthsAmount DueLoading...Fund:BSU Summer Missions Project -- C21544Gift Campaign: Service Projects and MissionsGift Status:ReceivedFair Market Value:Tax deductible amount:Gift Date:Gift Note:Fulfilled:YesNoPlease leave a short note of encouragement for this student.* (Old Field)Submit