C O M M I T M E N T O F G I F T F O R M
My TOTal CONTRIbuTION aMOuNT Is: $_____________________________________________________________
o
I/we pledge this amount to be paid over ____________ year(s) [maximum 5] beginning: Month _______ Day _______ Year_______
ways TO GIvE
o
I/we have enclosed a check made payable to the FSU Foundation, Inc. for $ ____________________________________________
o Please bill my credit card: (indicate type of card) o VISA
o MasterCard
Card No: ___________________________________________________________________ Exp. Date ___________________
Signature: ____________________________________________________________________________________________
auTOMaTIC MONThly GIvING plaNs
o
I authorize the FSU Foundation, Inc. to charge $__________ to my credit card each month using the credit card information provided above.
o
I authorize my bank to make monthly payments in the amount of $______________ from my checking account to the FSU Foundation, Inc.
(Please send your first payment by check so this arrangement can be established with your bank.)
Signature ________________________________________________________________________________________
DEsIGNaTION: (Specific fund name) ____________________________________________________________________________
My gift is o in honor of o in memory of (Name) ______________________________________________________________
My relationship with this individual is (i.e. spouse, parent, sibling, child, my former professor, etc.) _____________________________
MaTChING GIFTs: o Donor/ o Joint Donor’s employer will match this gift. Please complete employer information below.
Check one: o I have enclosed a completed matching gift form. o I will send a completed form.
DONOR aCCEpTaNCE: (Required)
_______________________________________________________________
_____________________________________________________________
Donor - Signature
Date
Joi