. If you are unable to do this, please call Heidi at 312-235-3506 to make a gift over the phone. Please do not send credit card information through email.
Shimer Recurring Donation Form
Recurring Gift Information
Recurring donation of:
Would you like to set an end date for these recurring gifts?
Leave blank if no end date
My gift is for the
Shimer Scholarship Fund
This gift is made:
in honor of:
in memory of:
I would like this gift to be made anonymously
Our donor roll is shared electronically and in print. How would you like to be recognized?
I would like my name to appear in the donor roll listing
I would like my name to appear as 'Anonymous' in the donor roll listing
I would not like my name to appear in the donor roll listing
How would you like your name to appear in our donor roll?
i.e. "Mr. and Mrs. Johnson '67"
What type(s) of gift receipt do you require? An email receipt will be generated automatically.
Email receipt only
No acknowledgement desired
Would you like to receive communications from Shimer?
monthly email newsletter
Name and address as it appears on the credit card
Billing phone number
Billing Postal Code
Credit Card Type
We do not accept American Express
Credit card number
No dashes or spaces
If you are having difficulty with this form, please email us at
or call 312-235-3506
Need assistance with this form?