070497- Printable Pledge form030816- Gift and Pledge Form by evk20444

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									                             Gift and pledge Form
                             ABILENE CHRISTIAN UNIVERSITY
                             Gift Records
                             ACU Box 29132
                             Abilene, Texas 79699-9132




section I: Donor Information

Name                                                                                 ACU class year

Spouse                                                                               ACU class year

Address                                                        Daytime phone                     □ Home □ Work
City                         State         ZIP                 Evening phone                     □ Home □ Work

Date                                                     Email address


section II: gift allocation
       ANNUAL SUPPORT
           □   Annual Fund                                                       $
           □   Hope for the Future Scholarships                                  $
           □   Science-Math Research                                             $
           □   Bible Scholarships                                                $
           □   Missions Seminar Scholarships                                     $
           □   Wildcat Annual Fund (athletics)                                   $
           □   Where needed most                                                 $
           □   Other                                                             $
                                                                     TOTAL       $

           □   I would like for someone from the university to contact me.

               Is Abilene Christian University in your will?
                   □ Yes      □ No       □ Would consider



section III: I’m contributing by...
       □   CHECK OR MONEY ORDER
           □   Check enclosed                                            TOTAL   $
           □ Money Order enclosed                                        TOTAL   $
           Made payable to Abilene Christian University




070497-0707                                                                                                Q123
    □    CREDIT CARD INFORMATION
         Name
                                       AS IT APPEARS ON CARD


         □ American Express        □ VISA

         □ MasterCard        □ Discover                                        TOTAL $

         Credit Card Billing Address

         Card No.                                                              Exp. date

         Signature

         Security code on card

         NOTE: The location of the security code varies based on the type of card. Please note if your
         code is illegible.
             VISA, MasterCard and Discover: On back of card, a series of numbers is printed in or near
             the signature area. The security code is the last three- or four-digit cluster of numbers.
             American Express: On front of card, the security code is a four-digit number printed near
             the embossed card number.

    □    PLEDGE
         □    I would like to honor my pledge commitment in            equal installments
              of $               each, beginning on                             .

              Please remind me each:
                   □ Month       □ Quarter          □ Other

         □    I would like to honor my pledge commitment in a single payment
              on                     . Please send me a pledge reminder prior to that date.



section IV: Special Instructions
    □    DOUBLE MY MONEY
         I work/My spouse works for a Matching Gift Company.
                                                                                    COMPANY NAME


    □    HONOR/MEMORIAL GIFT
         This gift is:    □ In honor of            □ In memory of
                          Name

         Please notify:   Name

                          Address

    □    OTHER SPECIAL INSTRUCTIONS



Mail to
         Abilene Christian University
         Gift Records
         ACU Box 29132
         Abilene, Texas 79699-9132

         Questions? Call Gift Records at 325-674-2612 or toll-free at 888-414-4228


070497-0707                                                                                               Q123

								
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