Minnesota Gerontological Society

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Gerald Bloedow Scholarship Fund

In 1994, MGS established the Bloedow Scholarship fund to honor the lifelong contributions of Gerald Bloedow to the field of aging and to provide financial assistance to undergraduate and graduate students to further their education in gerontology. Gerald Bloedow was Director of the Minnesota Board on Aging from 1966 until 1994.

The Bloedow Scholarship Fund enables MGS to provide scholarships to higher education students who strive to prepare for leadership and service in the aging services field.

Gift Levels:
(All gifts are charitable donations.
MGS is a 501(c)3 non-profit organization.)

$50

$100

$250

$500

$1,000

Other Amount

I would like to add 3% to my total to help offset credit/debit card processing costs.

Total: $0.00

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

E-mail: *

A receipt will be e-mailed to this address.

For payment by check, print and mail this form with your check to:
Minnesota Gerontological Society
1265 Grey Fox Road Suite 2
Arden Hills, MN 55112

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *