Your gift is important to us. To make a donation by check or for matching gifts, please send this completed
form to the address below:
NAME
SPOUSE
Is this a joint gift? YES
NO
ADDRESS
PREFERRED PHONE
EMAIL
Optional:
COMPANY
YOUR TITLE
BUSINESS ADDRESS
BUSINESS PHONE
BUSINESS FAX
Enclosed is a check made payable to the Carter G. Woodson Institute Gift Fund with “donation” in
the memo.
Enclosed is my signed employer’s matching gift from for a matching gift donation.
Please send completed form to:
The University of Virginia
Carter G. Woodson Institute
108 Minor Hall, Box 400162
Charlottesville, Virginia 22904
Questions? Please call 434-924-3109 or email ts2wq@virginia.edu