Yes! I/We would like to support
the Carlson School this year!
| Name ___________________________________________________________ |
| Address _________________________________________________________ |
| City __________________________ State _________
Zip _________________ |
| Preferred phone (_____) _______________ Preferred email __________________ |
| |
| I/we wish to give the following to the Carlson School: |
| ___$100 |
___$250 |
___$500 |
___$1000 |
Other $________ |
|
| |
| Please direct this gift to: |
| ___ |
The Carlson School Annual Fund (1040) |
| ___ |
The following program or department: ________________________ |
|
| |
|
| Payment Options |
1. Check
Please make your check or money order payable to the University of Minnesota Foundation. |
|
2. Credit Card
| ___Visa |
___MasterCard |
___AMEX |
___Discover |
|
| ___________________________________________ |
_____________________ |
|
| Credit card
number |
Expiration
date |
|
|
| _________________________________________ |
___________________________________ |
| Name as it
appears on credit card |
Signature |
|
| 3. Pre-authorized Payments (Electronic Funds Transfer) |
| Donation amount (check
one): |
| $___________
Monthly (
___1st or
___
15th; start month _______________) OR |
| $___________
Quarterly (The 1st of the month beginning _______________) |
|
Please allow 15-30 days for processing before pre-authorized payments begin.
|
| Please
continue my donations |
___
until my pledge of $_______ is satisfied. |
| |
___
indefinitely, until I contact you. |
| Name(s)
on account (please print) ______________________________________________ |
| |
|
I
authorize the University of Minnesota Foundation
to process debit entries from my account. This
authority will remain in effect until I give
reasonable
written notification to terminate this authorization
or until the last specified payment date. I
understand
that the processing time to start or stop payments
can take up to 30 days.
___
I have attached
a voided check or savings deposit slip. (Or)
___
Use my credit card information provided
above for my pre-authorized payments. |
| |
| Authorized
signature _______________________________
Date ___________ |
|
Matching Gifts
___
YES! My company will match
my gift.
If you're not sure if your
company matches gifts to the U, visit www.matchinggifts.com/umn or consult your company's human resources department. |
|
Please mail to:
University
of Minnesota Foundation
C-M-9407
P.O. Box 70870
St. Paul, MN 55170-9407
|
