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Standard Gift Transmittal Form

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					                                                           Standard Gift Transmittal Form
                  In a sealed envelope, deliver the deposit with this form and all correspondence received, including the envelope it was received in, to:
                                                            The Gift Processing Department, 121B Alumni Hall

               Prepared By:                                                                                              Date:

                Department:                                                                                    Telephone # :

                              University policy prohibits you from keeping bank account information. Do not copy or retain copies of checks.



NOTE: The donor's address is required for each donation.                                          NOTE: Go to the University's Online Giving Websiteto make
         Please be sure that each donor's address is included on the check,                            credit card and electronic check donations received in your office.
          on the envelope, and/or in the correspondence.
         You must provide the donor's address if one is not provided by the donor.




                                                                                                                                                                                         Anonymous?
                                                                                                                   Program or




                                                                                                                                                                         Check
                                                                                                                                                                  Cash
                                                                                                                    Allocation              Gift       Non-Gift                  Check
                   Donor Name                                Fund Name                       Department    Fund                  Account
                                                                                                                       Code                Amount      Amount                      #
                                                                                                                   (Required)

  1

  2

  3

  4

  5

  6

  7

  8

  9

  10

                                               If goods or services were provided in exchange for any monies listed, please                 0.00           0.00
                                                            accompany this deposit with a detailed explanation.
                                                                                                                                                   $0.00



                                                                                                                                                                     Last Revised 5/10

				
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