Your gift to AU
Method
of giving (check
one):
___I
would like to make an outright gift to Aurora University. Enclosed
is the gift.
___I
would like to make a pledge to Aurora University. Enclosed is the
first commitment toward fulfilling this pledge. The pledge amount is
$________.
Method of payment (check
one):
___Enclosed
is a check or money order in the amount of $______made payable to
Aurora University
in US Dollars.
___I
would prefer to make a credit card payment in the amount of
$_________.
Credit
Card:
(check one) Visa ____ MasterCard_____ Discover _______
Account
number: ___________________________________ Expiration date____
Signature
of cardholder: ___________________________________________________
Printed name of cardholder:
________________________________________________
Matching gifts:
Will your employer or your spouse's employer match your
contribution?
Employer:
_____________________________________________________________________
Address:
______________________________________________________________________
City,
State, Zip:
________________________________________________________________
Country:
______________________________________________________________________
Job
title:
______________________________________________________________________
Work
Telephone:
_______________________________________________________________
Work
E-mail:
__________________________________________________________________
Please
include the company's matching gift form.
Gift designation
Please
use my gift in the following manner (check one):
____
Student scholarships
____
AU Lake Geneva Campus
____
Annual fund
____
Other
________________________________________________________________________
Please take a moment to update your record:
Prefix:
(check one) Mr. ___ Mrs. ___ Miss ___ Ms. ___ Dr. ____ Other: _____
Name:
(first, middle,
last)_________________________________________________________
Maiden
name:
__________________________________________________________________
Spouse
name:
__________________________________________________________________
Address:_______________________________________________________________________
City,
State,
Zip__________________________________________________________________
Country_______________________________________________________________________
Home
Telephone (including area or country code) _____________________________________
Home
E-mail
address:____________________________________________________________
I am (check all that apply):
AU
graduate ___
Year(s) ___ Degree ______
GWC
graduate ___ Year(s)____ Degree __________
Friend
of AU _____ Friend
of GWC ______
Parent
of current student ____ Parent of past student ____
Please mail your gift and this form to:
Aurora University Advancement
Services
347 South Gladstone Avenue
Aurora, Illinois 60506-4892 USA
Or, fax this form with your pledge or gift made
via a credit card to:
Advancement Services at
630-844-7883 |
