I want to make a gift in honor of Dennis... Payment information: My check for $_______________ is enclosed.

advertisement
I want to make a gift in honor of Dennis Beagen:
$100
$250 $500 Other $______________
Donor name(s): ____________________________
Please designate my gift to:
Dennis Beagen Endowed Scholarship
in Forensics (01343)
Dennis Beagen Undergraduate Symposium
Endowment (01689)
I would like to set up a multi-year pledge.
Total pledge $_____________________
_____________ years at ________ per year.
The Eastern Michigan University Foundation is a nonprofit, 501(c)(3) organization whose
primary mission is to encourage and manage gifts for the benefit of Eastern Michigan
University. To ensure accurate credit, please return this form with your payment.
Contributions are tax deductible in accordance with internal revenue service rules.
Payment information:
My check for $_______________ is enclosed.
(Please make checks payable to the EMU Foundation)
Charge my gift to:
Mastercard
Visa
Charge amount: $_________________ Exp: ___/___
Account number: ____________________________
Name as it appears on card: ____________________
Signature: __________________________________
Billing address: ______________________________
City/State/Zip: _______________________________
Home phone:________________________________
Email: ______________________________________
To make your gift online, visit emufoundation.org
SA12BEA
Download