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
425 Plumas Blvd., Suite 200
Yuba City, CA 95991
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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