PLEDGE FORM - DEPARTMENT OF MATHEMATICS AND COMPUTER SCIENCE

I pledge to give this year
$5000 $1000 $500 $100 Other
in a single gift gifts spread throughout the year.

In addition, my company will match my gift.

Direct my gift to the department's greatest need (as determined by the department chair).
I prefer to designate my gift for scholarships (undergraduate).
I prefer to designate my gift for fellowships (graduate).
I prefer to designate my gift for .

Send me information on charitable estate/gift planning.

Name Date

Address