Please print this form if you are considering a gift to Chicago State.
 
Click here to download the CSUF Gift/Pledge Form as a .pdf
Donor Name: __________________________________________________________
Address: ___________________________________________________________
City, State: ____________________________ Zip: __________________
Bus. Phone: __________________Home Phone: ___________________
Email: ________________________________________
Description of Gift (please be as specific as possible):
Pledge $: ______________________ (Amount to be provided by donor)
Donor’s Signature: ______________________________________________
Date: _______________________________
Campus Department: _______________________________
Thank You.
Please make checks payable to CSU Foundation, Inc.
All gifts are tax-deductible in accordance with IRS rules.
Return to the Chicago State University Foundation Office:
Cook Administration Building, Suite 322
9501 South King Drive Chicago, IL 60628-1598
Phone: (773) 995-3839
FAX: (773) 995-3604
Email:friends@csu.edu
Matching Gift Form Enclosed (if applicable)
My gift will be matched by _________________________________________________________
Company name, contact person__________________________
phone # _________________________
Send me information on:
[ ] Bequests & Deferred Gifts [ ] Opportunities for Memorial Gifts [ ] Sponsorship Opportunities
Charge:
Visa ____________ Mastercard ____________ Amex ____________Discover ____________
Amount $ _____________
Account # _______________________________ Exp. Date _____/_____
Signature:___________________________________________________
Name: ___________________________________________
Address: __________________________________________
City _____________________ State _______ Zip _________
Telephone: (home)_______________ (work)_______________(e-mail)________________________
Thank You.
Please make checks payable to CSU Foundation, Inc.
All gifts are tax-deductible in accordance with IRS rules.
Return to the Chicago State University Foundation Office:
Cook Administration Building, Suite 322
9501 South King Drive Chicago, IL 60628-1598
Phone: (773) 995-3839
FAX: (773) 995-3604
Email: CSU-foundation@csu.edu |
