FOUNDATION OFFICE
Serving YCCD Since 1972
Gift Form
ONE-TIME GIFTS are welcomed and can be transacted by personal check, cash or credit card.
DONOR INFORMATION (Please print)
Name: _____________________________________________________________________________
Address Line 1: ______________________________________________________________________
Address Line 2: ______________________________________________________________________
City/State/Zip: _______________________________________________________________________
Phone: ____________________________Email:___________________________________________
How to reach us:
Yuba Community College District Tel: (530) 749-3868
Foundation Office Email: foundation@yccd.edu
2088 N. Beale Road
Marysville, CA 95901
 These forms are available in hard copy at the YCCD Foundation Office.
 For assistance contact the YCCD Foundation Office.
 Return completed forms to the YCCD Foundation Office.
GIFT INFORMATION (Please print)
 Gift Designation (Program/Scholarship/Campus): _________________________________________
(
If you want your gift to be utilized where needed most, write “unrestricted” in program/scholarship designation line.)

Do you want your gift designated for: ____ Program Support OR ____ Scholarship Support
METHOD OF DONATION
Check (Payable to YCCD Foundation) $_____________
Cash $___________
Credit Card: ____ VISA ____ MASTERCARD ____ OTHER $ _____________
Credit card holder name: ______________________________________________________________
Credit card number: __________________________________________________________________
Credit card V-Code: ________________________________ Expiration Date: _____/_____/______
Billing address: ______________________________________________________________________
Street City State Zip
Signature: _________________________________________________ Date: ____________________
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