Authorization Agreement Form

ADVERTISEMENT

Make a Gift Using a Bank Draft
Authorization Agreement for Electronic Gift Payments
Please complete this form, sign it, and mail it to the address below. If you have questions, call (434) 924-7306.
University of Virginia
Office of Development and Public Affairs
Attention: Gift Accounting
P.O. Box 400807
Charlottesville, VA 22904-4807
Your Information:
Name __________________________________________________________________________________________________
Home Address ___________________________________________________________________________________________
City_______________________________________________ State _______________________ Zip ___________________
Home Phone _______________________________________ Business Phone ______________________________________
Cell Phone _________________________________________ E-mail ______________________________________________
Please update my record.
SCHOOL FUNDS
PAN-UNIVERSITY PROGRAMS AND SERVICES
$ ______ School of Architecture Foundation
$ ______ President’s Fund for Excellence
A University-wide resource to sustain excellence in
$ ______ Batten School of Leadership and Public Policy
teaching, research, and student life, and to provide
support for emerging and critical needs.
$ ______ College of Arts & Sciences
(The College Foundation)
$ ______ Provost’s Fund for Academics and Research
Provides support for curriculum development; faculty
$ ______ Graduate School of Arts & Sciences
salaries, research, and travel; and centers and institutes, etc.
(The College Foundation)
$ ______ Student Life and Leadership Fund
$ ______ School of Continuing and Professional Studies
Provides support for student government, student
$ ______ Curry School of Education Foundation
organizations, career services, student health, etc.
$ ______ Darden School Foundation
$ ______ AccessUV
A
Provides support for student financial aid.
$ ______ University of Virginia Engineering Foundation
(SEAS)
$ ______ Alumni Association of the
University of Virginia
$ ______ Law School Foundation
$ ______ University of Virginia Art Museum
$ ______ McIntire School of Commerce Foundation
$ ______ Virginia Athletics Foundation
$ ______ School of Medicine
(Medical School Foundation)
$ ______ Historic Buildings and Gardens
$ ______ School of Nursing
$ ______ University Library
$ ______ University of Virginia College at Wise Foundation
$ ______ University Medical Center
$ ______ Miller Center of Public Affairs
$ ______ Other ____________________________________
(Special instructions)
$ ______ Parents Fund (non-alumni)
TOTAL CONTRIBUTION $___________________________
(next page)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 2