| Please complete the following so we may accurately credit your gift. |
| First Name_________________________________________________ |
| Last Name_________________________________________________ |
| Work Phone ( ____)_________________________________________ |
| Home Phone (____)_________________________________________ |
| Address____________________________________________________ |
| City_______________________ State_____________ Zip__________ |
| Please designate my gift to |
 |
Greatest Need |
|
College of Agriculture |
|
College of Arts & Architecture |
|
College of Business |
|
College of Education, Health & Human Development |
|
College of Engineering |
|
College of Letters and Science |
|
College of Nursing |
|
Division of Graduate Education |
|
University College |
|
University Libraries |
|
Other (please specify) ____________________________________ |
|
|
| I would like |
to make this gift in memory of
(name)_____________________________________________ |
to make this gift in honor of
(name)_____________________________________________ |
| Enclosed is my gift of |
|
$2,500 |
$1,000 |
$500 |
$250 |
$100 |
$50 |
$25 |
Other $____ |
|
| American Express |
Discover |
MasterCard |
Visa |
|
| Expiration (month/yr)_____/____ |
| Credit Card # _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ |
| My employer matches gifts to higher education |
| Name of employer___________________________________________ |
| Monthly payments |
| I/We pledge $ (amount)__________ starting (month/year)__________ |
| and ending (month/year)_____________. Amount enclosed $_______. |
| |
