Name(pleaseprint):____________________________________ ______Listasanonymous
StreetAddress:______________________________________________________________________________
City:_________________________________________State:___________________Zip:__________________
E‐MailAddress:____________________________________________Phone:____________________________
Payment Options:
___ Enclosed is my check or money order in the amount of $ ____________________ made payable to the
Galveston College Foundation.
___ Please charge my gift of $ ____________________ to my credit card:
___ American Express ___Visa ___MasterCard
Name on Card (please print):______________________________________________________________________
Account Number: ___________________________________ Exp. Date: ___________ Security Code: __________
Signature:_____________________________________________________________________________________
Matching Gifts: Your gift can be doubled or tripled in value through your or your spouse's employer's matching gift program. Check with
your personnel office to see if your company participates in a Matching Gift Program.
___ UA Endowment Fund
___ UA Book Fund
___ Scholarships
___ Athletic Programs
___ Beacon Square Fund
___ Other: ____________________________________________
Galveston College Foundaon
4015 Avenue Q | Galveston, TX 77550 | Phone: (409) 944‐1303 | Fax: (409) 944‐1500
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