Give to UAM Foundation Fund

Give to UAM Foundation Fund
UAM Foundation Fund Homepage
UAM employees - click here to give by payroll deduction
Donor Title*
Donor Name*

First NameMiddle NameLast Name
Select Parent, Friend, Alumna or Alumnus:*
Please indicate class year if Alumna/Alumnus:
If this is a joint gift, enter spouse's name:
Please indicate class year of spouse:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Address*
Email*
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Phone Number*
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Click here for giving levels.
Gift Amount and Designation
Gift Amount*
Gift Amount
Please designate my gift to:(choose one from the list)
I would like to specifically designate my gift to the following department or program:
Honor/Memorial Gift
I would like to make this gift in (honor/memory) of : Type a label (Name or Occasion)
Please send acknowledgement to:
Name

First NameLast Name
Address

Street Address

2

CityState / Province

Postal / Zip Code
Matching Gifts
Did you know that a matching gift can double or triple your gift? Many companies will match gifts made by their employees or their spouses. Please check with your employer to determine if a matching gift program exists! If so, please send the matching gift form to:

University of Arkansas at Monticello
Office of Advancement
P.O. Box 3520
Monticello, AR 71656
Name of Company:
Confidentiality Statement:
The University of Arkansas at Monticello is very concerned with the security of financial information and transactions on the Internet. The information submitted on this form is protected by a secure server. Information submitted on this form is for the use of UAM only and will not be shared with any outside individuals.
Questions?
Please call or write the Office of Advancement at:
P.O. Box 3520
Monticello, AR 71656
870-460-1028

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Expiration Month	Expiration Year

Give to UAM Foundation Fund

Gift Amount and Designation

Honor/Memorial Gift

Matching Gifts

Please Confirm the Amount and Designation