Statement of Commitment WKU Center for Gifted Studies Alumni Fund Date Name(s) Address Phone Number City State Zip Code E-Mail FUNDING METHOD Donor Commitment: Anticipated Employee Match: Gift Outright Gift Date: Tender: Pledge Payment Frequency: Payment Amount: 1st Payment Date: Pledge Type: Do Not Send Pledge Reminder GIFT MATCHING Employer Name City and State My employer will match this gift. Anticipated Match Amount Form Enclosed Form will be Sent Please send me information about my company's matching gift program. My employer does not match charitable gifts. GIFT RECOGNITION This gift may be publicly acknowledge to encourage the support of others. Preferred Donor Listing This gift may not be publicly acknowledged. SIGNATURE(S) I have included WKU in my estate plans. I would like to learn more about planned giving opportunities. Return signed agreement to : Amanda Coates Lich, Office of Development, Western Kentucky University, 1906 College Heights Blvd. #11005, Bowling Green, KY 42101