Statement of Financial Intent
Print Name(s) ____________________________________ E-mail Address ___________________________
Home Address ____________________________________________________________________________
City ______________________________________________ State __________ Zip ___________________
Phone Home ______________________ Business ______________________ Cell ___________________
Signature _________________________________________________________ Date ___________________
Director of Development Name(s):
I/we wish to make a gift of $____________________ to support:
Any University priority (unrestricted).
Other __________________________________________________________________________________
NOTE: We ask for Day of Giving pledges to be paid by the end of the fiscal year (June 30).
This pledge should be used as a:
Regular gift.
Match (will match dollars/donors as they come in and can be restricted to a certain area of support).
For example, I will match dollar-for-dollar up to $50 for Eagle Cam.
Details: _______________________________________________________________________________
Challenge (unlocks ONLY if a certain threshold is reached and cannot be restricted to a certain area).
For example, I challenge 50 people to make gifts, and then I will give $50.
Details: _______________________________________________________________________________
I agree to donate even if the conditions of the challenge/match are not met.
I/we intend to pay this pledge:
With personal funds
Through a Donor Advised Fund (DAF)
Through a Family Foundation
Other: ________________________________________________________________________________
NOTE: Corporate matching gift programs generally will not commit to satisfying personal pledges. For this
reason, matching funds cannot count as payments for personal pledge commitments. Matching gifts do qualify
for full recognition credit and for credit toward projects, as appropriate.
For gift recognition purposes, please indicate below who should receive credit for this pledge and payments:
________________________________________________________________________________________
I/we wish to remain anonymous.
**********************************Advancement Services Use Only**********************************
Date Received:
Date Pledge Entered:
Designation:
Staff Name:
Staff Signature: