I wish to make a gift to the UW-Eau Claire Foundation. My commitment will be completed as detailed below (complete all spaces that apply):

Name:

If making a joint gift, joint donor's name:

Street address:

City, state, ZIP:

Telephone (home): - - (work): - -

E-mail address:

Outright gift of

Pledge of to be completed over a -year period (not to exceed 5 years). My first pledge payment will be made by (mm/dd/yy): . I would like annual reminders to be sent the first of: select a month January February March April May June July August September October November December .

I will fulfill this gift commitment as follows:

I will mail a check for the amount of my outright gift, along with a printed copy of my gift/pledge form confirmation page, to the UW-Eau Claire Foundation, P.O. Box 4004, Eau Claire, WI 54702-4004.

I will mail a check for the amount of my first pledge payment, along with a printed copy of my gift/pledge form confirmation page, to the UW-Eau Claire Foundation, P.O. Box 4004, Eau Claire, WI 54702-4004.

I will make my first pledge payment via check, credit card or electronic funds transfer by the date indicated above.

Please check all that apply:

Please use my gift for UW-Eau Claire's areas of greatest need.

Please use my gift for the following purpose(s) or fund(s):

This gift qualifies for an employer match from my or my joint contributor's employer.
Name of employer:

Please indicate why you decided to make this gift
(e.g., prompted by a Telefund call, recent mailing, or other reason):

Thank you!

Click "Submit" only once. A printable confirmation page will follow.

IMPORTANT: Be sure to print the confirmation page for your records, and include a copy with your gift payment to the UW-Eau Claire Foundation, P.O. Box 4004, Eau Claire, WI 54702-4004.