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Pledge Form - UMD CLA


Pledge Form

College of Liberal Arts at the University of Minnesota Duluth
Annual Giving Pledge/Gift Form - Use your browser's print button to print this form.


Name: ___________________________________________________________________________

Home Address:____________________________________________________________________

City________________________________ State_________________ Zip__________________

Home Phone: _____________________________________________________________________

Employer: __________________________ Title:______________________________________

Bus. Address: ___________________________________________________________________

_________________________________________________________________________________

City _______________________ State ________________ Zip__________________________

Bus. Phone: _______________________ E-mail:_____________________________________

Year of Graduation: _______________ Degree: _____________________________________

Please complete the following if this is a joint gift:

Joint Donor's Name: _____________________________________________________________

Year of Graduation: _______________ Degree ______________________________________
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I want to support the College of Liberal Arts with a gift/pledge to the following fund:


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Please send the following:

__________Enclosed is my check in the amount of $ _______________ made payable to the "University of Minnesota Foundation."

Or

I authorize the U of MN Foundation to collect $ _______________ through:

___________VISA ___________ MasterCard ___________Discover ____________AMEX

________________________________________________________ Card Number AND Expiration Date

__________________________________________________________ Signature

Or
____________ Please record my pledge of (minimum $250) $ __________.

I will make payments in the amount of $ ________________ over _________ years, starting in ____________ (month) of ______________ (year).

Information on giving through wills, trusts & bequests.

More information on giving opportunities in the following department or program:

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Please mail this form to: JenniferMeyer
Director of Development
College of Liberal Arts
University of Minnesota Duluth
306G Kirby Plaza
1208 Kirby Drive
Duluth, MN 55812-3095
© 2012 University of Minnesota Duluth
The University of Minnesota is an equal opportunity educator and employer.
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