THE POWER OF
ENGAGEMENT
THE POWER OF ENGAGEMENT
SIMON FRASER UNIVERSITY
2014 CAMPUS CAMPAIGN
THE POWER OF
ENGAGEMENT
Name
Address
City, Province
Phone Number
THE POWER OF ENGAGEMENT
Department
Postal Code
Email
þ YES, I WANT TO SUPPORT STUDENTS AT SFU!
ENCLOSED IS MY GIFT/PLEDGE OF:
r $150 r $200 r $350 r $500
r Other $ __________
PLEASE DIRECT MY DONATION TO:
r SFU Retiree’s Association 50th Anniversary Fund
r Other (please specify department, office, program, project or athletic team)
To designate your gift to more than one area, write allocation amount beside areas of choice.
PAYMENT OPTIONS
METHOD OF PAYMENT
r
Cheque (payable to Simon Fraser University)
r
VISA
r
MasterCard
r
Account #
Cardholder’s signature
CREDIT CARD GIFTS BY INSTALLMENT
r
All at one time
r
Ongoing monthly payments of $
American Express
Expiry Date
/
starting on
5th, 2014.
(month)
r
I would like to arrange other installment terms, please contact me.
University Advancement will issue receipts for cash gifts.
Charitable Business Number #118520725RR0001
r I prefer that my gift remain anonymous.
r Please send me information about leaving a lasting legacy and including SFU in my will.
PRIVACY STATEMENT
At Simon Fraser University, your privacy is our priority. We adhere to all legislative requirements with respect to protecting privacy. We collect your
information under the University Act to administer our university advancement program and fundraising campaign. The information we collect is used only
to process donations, keep people informed about our activities, and ask for support to further our work. We do not disclose your information to other
organizations. If at any time you wish to be excluded from any such contact, or if you have any questions about our privacy policy, please contact Erin
Geary at 778-782-5307.
Please return form to:
Simon Fraser University
University Advancement
2118 Strand Hall,8888 University Drive
Burnaby, BC
V5A 1S6