NORTH DAKOTA STATE UNIVERSITY - FARGO, N D



Department of Geosciences
North Dakota State University

GEO-ALUMNI ENDOWMENT
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 Geo-Alumni Endowment, in support of the Department of Geosciences' undergraduate field trip and scholarship fund.

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

  • Credit Card: Please charge my gift of $ ___________________ to my
    [   ] VISA       [   ] DISCOVER       [   ] MASTER CARD      

    Account #: _______________________________________________
    Expiration date: ___________________________________________
    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

A signature is required for credit cards.

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!