Fillable FS Contribution Form Update of Contribution form for f-s brochure as word doc.ks

Fill Online, Printable, Fillable, Blank FS Contribution Form Update of Contribution form for f-s brochure as word doc.ks Form

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FS Contribution Form Update of Contribution form for f-s brochure as word doc.ks

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The FS Contribution Form Update of Contribution form for f-s brochure as word doc.ks form is 1 page long and contains:

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Faculty & Staff Campaign
Contribution Form
Every gift through the
Tech Loyalty Fund
makes a tremendous impact. Gifts can be made by
cash,
check, credit card, bank draft, or on-line. However for many, the easiest way to support Tech is to authorize a
designated amount to be deducted each pay period.
After completing the online form below, please print this document and SIGN.
Date: ____________________________________
Name: ________________________________________________________________________________________
Home Address: _________________________________________________________________________________
City, State, Zip: _________________________________________________________________________________
Email: ________________________________________ Department: ______________________________________
Please designate my gift to:
q University’s Greatest Need
q Academic Scholarships
q Alumni
q Academic Dept. ____________________________________________________________________
q Athletics __________________________________________________________________________
q Other _____________________________________________________________________________
My gift will be paid as follows:
q Payroll Deduction
q Deduct my gift in equal monthly installments of $_____, beginning (month/year)_________ until further
notice from me.
q This replaces or upgrades my present payroll deduction.
q This is in addition to my existing payroll deduction.
Please sign:____________________________________________________________________________________
q A gift in the form of a check made payable to the Arkansas Tech Foundation.
Please submit this form to:
Arkansas Tech University Foundation
Administration Building, Rm 209
PO Box 8820, Russellville, Arkansas 72801-2222
Bank Draft or Credit Card Options: Please call 968-0400
On-Line Gifts: Go to http://givetotech.atu.edu
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FS Contribution Form Update of Contribution form for f-s brochure as word doc.ks

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Completed 6 March 2020

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