Gift Form Uw Parkside Foundation
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1Gift Form
Gift Information
Gift Amount:______________
Designation:
o Fund for UW-Parkside (Greatest Need)
o General Scholarships
o Other (Please Specify):_____________________________________________________________
Payable as a: o One-time gift
o Multiyear pledge
Multiyear pledge: Please send me pledge reminders for installments of $________________to be contributed:
o Annually o Semiannually o Quarterly o Monthly
Beginning _____/_____ and ending _____/_____
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yy
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Payment Information
Option 1: Check - Make your check or money order payable to: UW-Parkside Foundation
Option 2: One-time Credit Card Gift
Please charge my:
o MasterCard o Visa o Discover o American Express
Total Gift Amount:_________________ Cardholder’s Name:________________________________________________
Card Number:______________________________________________ Expiration date: ____/____
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Signature:______________________________________________
Matching Gifts
o My employer will match my gift, and a completed matching gift form is enclosed.
Donor Information
Donor Name:________________________________________________________________ o I/We wish to remain anonymous
Address: ___________________________________________________________________ o I/We attended UW-Parkside
City:____________________________________________________ State:_______ Zip:_____________
Preferred Phone:_____________________________ Preferred Email: ___________________________________________________
I am interested in learning about: o Establishing a Scholarship o Giving through estate planning o Other:__________________
Mail completed form and payment to:
Thank you for your support!
UW-Parkside Foundation
The UW-Parkside Foundation is the designated fundraising agency for UW-Parkside.
900 Wood Road I P.O. Box 2000
Gifts received that are not designated for a specific area will be credited to the
Kenosha, WI 53141-2000
UW-Parkside Annual Fund. Tax Information: Gifts to the UW-Parkside Foundation are
Questions: (262) 595-2404
tax-deductible to the furthest extent of charitable giving laws and regulations.
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Parent category: Letters