Fillable DONOR INFORMATION Name Address City/State/Zip Phone Email (Webster University)

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DONOR INFORMATION Name Address City/State/Zip Phone Email (Webster University)

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Webster University | 470 E. Lockwood Ave. | St. Louis, MO 63119
Ph: 314-968-7148 | www.webster.edu/giving | Thank You!
GIFT/PLEDGE AGREEMENT
DONOR INFORMATION
Name
Address
City/State/Zip
Phone Email
DONATION INFORMATION
Instructions: If you wish to make a gift, complete this page. If you wish to make a pledge,
proceed to and complete page two.
Other:
Special Instructions:
Check payable
to
Webster University
enclosed.
OR
I wish to pay via Credit Card: Visa MasterCard Discover
Card Number Expiration Date (MM/DD) Security Code (Last 3 digits on back of card)
Give Online at www.webster.edu/giving
It’s fast, easy and secure, and you can set-up regularly scheduled payments!
($1,500 minimum. Select School & College)
Enter Webster Society Scholarship Name:
Gift
Amount
Designation(s):
Priorities:
Scholarships:
School/College Support:
Webster Society Annual Scholarships:
Athletics:
Select
Select
Select
Select
Select
Webster University | 470 E. Lockwood Ave. | St. Louis, MO 63119
Ph: 314-968-7148 | www.webster.edu/giving | Thank You!
GIFT/PLEDGE AGREEMENT
Pledge Amount
Designation/Purpose
to be fulfilled/completed on or before ______________________________________________ [date].
Payment frequency: Monthly Quarterly Annually Payroll Estate
The first gift of this pledge shall be on or before ______________________________________ [date].
I / my spouse work for a matching gift company. Your gift to Webster University could be doubled
or even tripled! Each company’s process is unique, but you must initiate the match following the
company’s process.
PLEDGE PAYMENT INSTRUCTIONS
Anticipated method of payment: Check Credit Card Stock
Other: ______________________________
Webster University will provide payment reminders to the Donor(s) per the schedule outlined below.
MONTH & YEAR
PURPOSE
ADDITIONAL INFORMATION
Please note any additional pledge information/instructions
Please specify payment terms in the “Pledge Payment Instructions” section below.
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DONOR INFORMATION Name Address CityStateZip Phone Email (Webster University)

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Completed 2 February 2021

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