YES! I want to support Elizabeth City State University! Total Gift Amount: $_____________ Please allocate my gift to: □ Unrestricted Support (Use my gift to support the area of greatest need) □ Other: ______________________________________ Name: _______________________________________________________________ Class Year: ________ Spouse Name: _________________________________________________________Class Year: ________ Mailing Address: _________________________________________________________________________ _________________________________________________________________________________________ Email: _______________________________________________________ Phone: ____________________ Major: ___________________________________ Please list any organizations or clubs you were involved in while at ECSU: _________________________________________________________________________________________ _________________________________________________________________________________________ Checks can be made payable to The ECSU Foundation. Card Type: __________________________________________ Card Number: ________________________________________ Expiration Date: ______________________________________ □ My employer will match my gift. Employer: ______________________________________________ ELIZABETH CITY STATE UNIVERSITY Office o University Advancement 1704 Weeksville Road Elizabeth City, North Carolina 27909 252.335.3225 The Elizabeth City State University Foundation is a 501 (c) (3) not for profit organization OL