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Online Giving for Embedding

Online Giving - Payment.ascx




Personal Information

(* required)
First Name*  
 Last Name*  
Spouse First Name
 Spouse Last Name
Street Address*  

City*  
 State/Province*
 Zip/Postal Code*  
Country*
 E-mail Address* (Privacy Statement)  
Phone Number (xxx-xxx-xxxx)*    

Gift Information
One-time Gift Sustaining Gift (ongoing)
Gift amount*   $  
Monthly gift amount*   $  
In addition to today's gift, I would like to make future gifts of the same amount

          ON:

          LASTING:
until I provide written notice to SAU. for months.  

Type of gift*
        Arbor Fund (unrestricted — where needed most)
        Track Complex
        Memorial or Honorary Gift
        Please provide the name of the deceased or honoree.
        Designated Gift (directed to a specific program or project)
        Please provide the name of the program or project.
        Engraved Bricks
                University Plaza Soccer Complex
                3 line 4"x8" brick - $100 6 line 8"x8" brick - $500                 Each line is limited to 14 characters.
               
               
               
               
               
               
                I wish to use my company's logo instead of a text message. (Please e-mail file to [email protected])

Does your company provide matching funds? If so, please enter its name:

Payment Information

Credit Card EFT or e-Check

Type of Card* Card Number* (no spaces or dashes)  

Expiration Date  

Card Security/Verification Code (CVV) (eg. 123, 4321) what is this?
Bank Routing Number*  

Account Number*

Check Number (for e-Check)

Check Memo (for e-Check)