NORTH DAKOTA STATE UNIVERSITY - FARGO, N D

    

DEPARTMENT OF GEOSCIENCES
NORTH DAKOTA STATE UNIVERSITY

DONATION FORM



Name(s): _________________________________________________________
Address: _________________________________________________________
_________________________________________________________________
_________________________________________________________________

My/our gift of $ _________________________ is pledged and presented to the North Dakota State University Development Foundation.

This gift is designated for the (check one):
[  ] Geo-Alumni Endowment (Fund #40092)
[  ] Geoscience Fund (Fund #33238)
[  ] Mayflower Endowment (Fund #25762)

  • Cash: Enclosed is a check to the "NDSU Development Foundation"
    for $ ___________________.

  • Credit Card: Please charge my gift of $ ___________________ to my
    [   ] VISA      [   ] DISCOVER      [   ] MASTER CARD      [   ] AMERICAN EXPRESS      [   ] DINER'S CLUB

    Account #: _______________________________________________
    Expiration date: ___________________________________________
    Card security code: ________________________________________
    Your signature: ____________________________________________

  • Matching Gift: Enclosed is a matching gift from my employer or my spouse's company.

Please mail this form to:
NDSU Development Foundation
1241 N University Drive
PO Box 5144
Fargo, ND 58105-5144

The NDSU Development Foundation is qualified to receive gifts, donations, and bequests that are deductible for federal income tax purposes.

Thank you, from all of us at NDSU Geosciences!