CAMPUS CAMPAIGN EMPLOYEE GIFT FORM
THE CAMPUS CAMPAIGN 09
GROWTHINCREASE EXPANSION COMMITMENT DEVELOPMENTBRANCH OUTDIVERSIFYINVIGORATERENEW ADVANCE o I would like to contribute to the campus campaign.
o This gift is made jointly with my spouse/parnter whose name is_______________________
DESIGNATED GIFT SELECTION Your gift is tax deductible to the extent allowable by law. If you would like to consider making
a pledge over a period of time or discuss a planned gift, contact Anne McGraw at (574) 520-4801 or e-mail admcgraw@iusb.edu
To choose additional account numbers and information, see reverse side. You can choose more than one account. I want to make a gift to...
Account Name________________________________Account #_________________________$ _________
Account Name________________________________Account #_________________________$ _________
Gifts without a designated account name and number will be credited to the Chancellor’s Fund (I 32-RR04-056).
CAMPUS-WIDE ACCOUNT Donations to the Chancellor’s Fund are used for non-traditional student scholarships, the Civil Rights
Heritage Center, diversity speakers, musical events, outreach to K-12 schools, as well as many other worthwhile projects.
Membership in the Chancellor’s 100 requires a minimum annual gift of $1,000.
o Chancellor’s 100 $______________ Account # I 32-RR04-056
PAYMENT OPTIONS
o Enclosed is my check in the amount of: $_____________________ (make check payable to the IU Foundation)
o Please charge my ___Visa ___MasterCard ___American Express ___Discover in the amount of $_____________________
Account #____________________________Expiration Date _____/_____ Signature (required)____________________________
o I wish to make a pledge through payroll deduction of: $___________per pay period for _____months.
or ___indefinitely (Note: minimum $5 per pay period, minimum four pay periods)
Employee Pay Type ___10 month ___12 month ___Biweekly
Total Gift Amount $_______________________________Signature (required)_________________________