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Fund for Lenoir-Rhyne Pledge Card Please fill in one: I am a Parent Friend Alumnus/a If parent, name of student ________________________________ Student’s graduation year ________________________________ Name __________________________________ Class _________ Spouse Name _____________________________ Class ________ Address _______________________________________________ City _______________________ State _____ Zip _____________ Home Phone _______________ Work Phone ________________ Employer _____________________________________________ E-Mail Address _________________________________________ Spouse Employer ________________________________________ Spouse E-Mail __________________________________________

Gift enclosed or pledged $_______________________________ Please charge my gift: ($5.00 minimum) to my

Visa

MC

Expiration Date ___________________ 3 digit V-Code _____________ (3 digit number on back of card) 16 digit Account # ________ / ________ / ________ / _______ Signature ____________________________________________ My company matches gifts. (Please circle) Yes or No Lenoir-Rhyne is in my estate plans. (Please circle) Yes or No Please send estate planning information. (Please Circle) Yes or No


Please designate my gift as follows:

$_____ University’s Greatest Need $_____ Student Financial Aid $_____ School of Nursing $_____ Charles M. Snipes School of Business $_____ School of Education $_____ School of Arts and Letters $_____ Donald & Helen Schort School of Mathematics and Computing Sciences $_____ School of Journalism and Mass Communications $_____ School of Counseling and Human Services $_____ School of Health, Exercise and Sport Science $_____ School of Occupational Therapy $_____ School of Natural Sciences $_____ School of Humanities and Social Sciences $_____ Friends of Music $_____ Friends of the Rudisill Library $_____ Visiting Writers Series $_____ Athletics (specify sport) _________________________________________ $_____ Other (please specify)____________________________________________

Our Fiscal Year Ends May 31st

Gift Clubs The President’s Society Old Main $10,000 and over Fair Stars $5,000-$9,999 Hacawa $2,500-$4,999 Tower Club $1,500-2,499 President’s Club $1,000-$1,499 *Alumni who graduated in the past 10 years $500 *Alumni who graduated in the past 5 years $250 Quad Club Highland Club Century Club Loyalty Club

$500-$999 $250-$499 $100-$249 $1-$99

The Fund For Lenoir-Rhyne Pledge Card  

The Fund For Lenoir-Rhyne Pledge Card