THE FUND Questions: Annual Faculty And Staff Giving Campaign Call 803.777.4647 or visit www.sc.edu/familyfund Step 1: Confirm/Update Your Information Name:_____________________________________________________________________________________________________ I am a: Faculty Staff Retiree Department:___________________________________________ College/School:_______________________________________ Campus Address:____________________________________________________________________________________________ Email:__________________________________________________ Work Phone:________________________________________ Preferred Phone: ________________ This is a joint gift; please include my spouse:_____________________________________________________________________ ✔ Gift in honor/memory of ___________________________________ I/We wish to have no public recognition for this gift Step 2: Choose Your Designations I’d like to support (You may check more than one, split evenly unless noted.) $______ College/Unit______________________________________ $______ Initiatives/Programs_________________________________ $______ Carolina Fund_____________________________________ $______ Other____________________________________________ Step 3: Choose Your Preferred Method of Payment payment options 1. Payroll deduction _ 9-Month Plan 12-Month Plan Continue my payroll deduction until further notice. T_ his is a new payroll deduction gift. This is in addition to my current payroll deduction gift(s). This replaces my current payroll deduction gift(s). Leave my payroll deduction the same as last year. Start after my current pledge expires. Payroll deduction guide 9-month 12-month Bi-Monthly Deduction Bi-Monthly Deduction $1.34 $1.00 $24 $3.34 $2.50 $60 $6.67 $5.00 $120 $13.34 $10.00 $240 $20.00 $15.00 $360 $26.67 $20.00 $480 $33.34 $25.00 $600 $55.56 $41.67 $1,000 Total Gift Total payroll deduction of $_____ per pay period, beginning on___ /___ /___ Please see the payroll deduction guide for the easiest way to make the biggest impact Signature______________________________________________________________________________ 2. Check payable to USC foundations Amount $__________________ *All gifts to USC Foundations are used to support the University of South Carolina. Checks can also be made payable to the USC Treasurer’s Office; these gifts are managed by the state of South Carolina. All gifts qualify as tax deductions under appropriate laws. Visa MC AMEX 3. Credit/debit card payment Amount $_____________ Name as it appears on card______________________________________________________________ Card number___________________________________________________________________________ Expiration Date____________ /___________ (MM/YY) Signature______________________________________________________________________________ If billing address is different than the one above, please list below. Billing address__________________________________________________________________________ City/State/Zip__________________________________________________________________________ Discover Step 4: Return Your Gift Form Please print this gift form, fill it out and mail it to: University of South Carolina, Attn: Gift Processing, 1027 Barnwell St. Columbia, SC 29208 or email to: [email protected] FF15
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