Gift Form Donor Information Date: Name: Spouse: (if applicable) Address: City/State/ZIP: Daytime Phone: E-Mail: Employer: (possible matching program) Evening Phone: Address: City/State/ZIP: Gift Allocation – Annual Support Unrestricted Gift Other:, Level of Contribution: $10,000 – President’s Circle $ 1,000 – Associate Gift Instructions This Gift is In Honor of: This Gift is In Memory of: Credit Card Information Name (as it appears on card) $ 5,000 – Dean $ 500 – Friend $ 2,500 – Director Other Card Number: Expiration Date: Signature: VISA CVV # (three numbers on back of card): MasterCard Gift Opportunities I would like to speak with a representative from the Office of Institutional Advancement regarding: Bequests Gifts of Appreciated Assets Gifts of Life Insurance Gifts of Real Estate Gifts of Charitable trusts or annuities Gifts of Business Interests, Closely-Held Stock, or other Tangible Personal Property Is Gateway Community College Foundation in your will? Yes No Would consider Best time to contact you: Telephone Number: Testimonial Please share with us, why you give to Gateway Community College Foundation. Please print and mail or fax this form to: Gateway Community College Foundation, Inc. 88 Bassett Road, North Haven, CT 06473 Telephone: 203-285-2323 Fax: 203-285-2324 Gateway Community College Foundation is a 501(c)(3) non-profit organization. Your contribution is fully tax deductible and a receipt will be forthcoming when the transaction is completed.
Pages to are hidden for
"Gift Form revised"Please download to view full document