Tributary Donation Form

Please Make Checks Payable to the ASU Literary Society

Name:      ____________________________________________________________

Mailing Address:      ____________________________________________________

____________________________________________________________________

Do you wish to remain anonymous, or may we print your name under the "Patronage" section of our magazine?

_______ Yes, Print it                        ________ No, Do not print

Amount enclosed     $____________________ (We will gladly accept any amount)