https://giving.sc.edu/UserFiles/usc/Documents/FF_ElectionForm_FF15_Editable.pdf

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