Southeast Missouri University Foundation
Pledge Form
I (We) pledge $ ________________________________ to the Southeast Missouri
University Foundation.
Enclosed is an initial payment of $ _______________. Billing installment preference is
for $__________ to be paid: Annually Semi-Annually Quarterly
Other __________________
MY (OUR) GIFT IS:
For the University Fund (for areas of greatest need).
________________________________________________
Designated for
In Memory of In Honor or
______________________________________
Name Phone Number
________________________________________________________________________
Address City State Zip
__________________________________ _________________________
Signature Date
Please make checks payable to and forward to:
Southeast Missouri University Foundation
One University Plaza, MS 7300
Cape Girardeau, MO 63701
(573) 651-2203 / (888) 812-3769
All gifts are tax deductible to the fullest extent of the law. Your employer may be a
matching gift company. If so please include the proper form from your personnel
office.