#BeMoreAtMCC
MCC FACULTY & STAFF GIVING FORM
FOUNDATION
Name: Employee ID:
Name(s) as you would like it to appear in the annual report of donors:
I prefer that my gift is anonymous and do not wish for my name to be published. What is your pay cycle? Bi-weekly Monthly
MY COMMITMENT
Equal installments of $ deducted from each paycheck totaling $ per fiscal year (July 1 - June 30).
I would like this deduction to continue until I notify the MCC Foundation to stop.
One payment of $ , deducted from my paycheck in (month) of (year).
I prefer to make an immediate one-time gift of $ .
STEP 1
MY GIFT DESIGNATION
My gift is to be used as follows (please choose one of the following options):
MCC Annual Fund (Area of greatest need). Specific Campus?: Amount: $
Existing Scholarship/Program Fund(s): Amount: $
Amount: $
STEP 2
MY GIFT FULFILLMENT
I prefer to fulfill my commitment as follows
(please choose one of the following options)
:
Payroll deduction as noted above
My check is enclosed
(made payable to the MCC Foundation with gift designation in the memo line)
.
Credit Card
I prefer to provide a one-time payment
via check or credit card in (month) (year).
A reminder of this pledge will be sent at the appropriate time.
STEP 3
Signature
Thank you for your commitment and support of MCC and our students.
Please make a copy for your records and email to mcc.foundation@mcckc.edu
Metropolitan Community College Foundation | 3200 Broadway, Kansas City, MO 64111 or send inter-office to MCC Foundation
mcckc.edu/foundation
816.604.1195
mcc.foundation@mcckc.edu
Credit Card: Visa Mastercard
CC#:
Exp. Date:
CVS:
Amount:
Signature:
Print Name:
Make your gift online now at mcckc.edu/give
I authorize the Metropolitan Community College Foundation to initiate
a charge to the above mentioned credit card in the indicated amount.
Fill out information here or make your gift online now at mcckc.edu/give
CREDIT CARD PAYMENT
Date
Street: City: State: Zip:
E_MCC_256_18
Email: Phone: Birthday:
MCC Alumni:
Yes No
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