Electronic Funds Transfer (EFT) or Recurring Credit Card Gifts Form
Now you can enjoy the convenience of making gifts to the Jackson State University
Development Foundation without writing a check! With Electronic Funds Transfer (EFT)
your gifts to the Foundation will be automatically deducted from your checking or savings
account. With Recurring Credit Card, gifts will be charged to the card you select. Both options
will enroll you into monthly deductions of the amount you designate. The minimum monthly
amount to enroll is $10.00 and deductions/charges occur around the 1st of each month. To enroll,
mail the completed form to:
Jackson State University Development Foundation
Post Office Box 17144
Jackson, MS 39217
OR
Download and fax the completed form to: (601) 979-9043
With all gift transactions, the Foundation keeps personal information private and strictly
confidential.
Please note: You may change your EFT or Recurring Credit Card option at any time in writing.
To change or cancel an Electronic Funds Transfer or Recurring Credit Card deduction,
notify the Office Manager in the Office of Development. For questions or additional
information, call 601-979-1759.
Electronic Funds Transfer (EFT) or
Recurring Credit Card Gifts Form
Download form and fax to: 601-979-9043
□ Class Year: ________
□ Major: ________________________________________
Name: ________________________________________________________________________
Address: ______________________________________________________________________
Street
City
State
Zip
Home Phone: (____) _____________________ Business Phone: (___) ____________________
E-mail: _______________________________________ FAX ___________________________
Employer: _____________________________________________________________________
Monthly Deduction Amount: ($10 minimum) $ _______________________________________
Select One Deduction Option:
□ Electronic Funds Transfer (EFT):
Name of Financia