Leadership Circle

Enrollment Form

I would like to join the John Brown University Leadership Circle. I am committing to Pray for JBU, Promote JBU and Provide a minimum of $500 annually to the John Brown University Scholarship Fund.

First Name:
Last Name:
Address:
Address Line 2:
City:
State:
Zip Code:
Phone:
E-Mail:

I will send my gift via:
	Credit or debit card (link to secure online giving page provided after enrollment)
	Check
	Automatic bank draft
	Other arrangements, comments, or suggestions below:

	My employer participates in a matching gift program.

Thank you for joining the JBU Leadership Circle. We deeply appreciate your support and involvement.