| University of Wisconsin Foundation Gift Processing Department P.O. Box 8860 Madison, WI 53708-8860 |
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To make a gift, please print out and complete this form. Please make your check payable to the University of Wisconsin Foundation and mail it with this completed form to the UW Foundation at Gift Processing Department, P.O. Box 8860, Madison, WI 53708-8860. If you wish to use a credit card, fill out the information below, sign and mail to the Foundation address. |
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I/we wish to support ongoing programs for educational excellence at the University of Wisconsin-Madison with my/our contribution of $________________. |
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A matching gift program can double or even triple your gift to the UW-Madison. If you wish to have your gift matched by your employer, please fill in the name of your company below. If your program includes a printed form, please complete that form and include it with your gift and this form. For further information about your company's matching gift program, please contact your human resources office. Company Name: _____________________________ |
| I/we wish to designate my/our gift to: |
Name________________________________________________________ __________________
Address_____________________________________________________ ___________________
City_________________________________State__________________ _Zip________________
Home phone__________________________________________________
E-mail address________________________________________________
__ Check here if this is a new address
Credit Card Information
Please circle your credit card type MasterCard Visa American Express
Card Number __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration Date __________
Cardholder name (please print)___________________________________________________
Cardholder
signature:___________________________________________________________
We thank you for your continued support and encourage you to call on
us
whenever you have a question or need information about making a
gift.
UW-Madison Astronomy Department
5534 Sterling Hall
475 N Charter Street
Madison, WI 53706
voice: (608) 262-3071
fax: (608) 263-6386