Please send this form along with your gift to:
Florida State University Foundation
P.O. Box 3062739
Tallahassee, FL 32306-2739
FLORIDA STATE UNIVERSITY FOUNDATION GIFT FORM
This form allows you to make a gift to Florida State University. The FSU Foundation accepts gifts in the form of a check, money order,
and major credit/debit cards (Visa, MasterCard or American Express). For questions, please contact Annual Giving by email
at [email protected] or by phone at (850) 644-6000.
* Information required to process gift
Title:*
First Name:*
Middle Initial:
Last Name:*
Address:*
Apt #:
City:*
State/Province:*
Postal/Zip:*
Country:*
Phone: (
)
FSU Affiliation(s):
Email:
Graduate
Former Attendee
If alumnus/a, graduation year:
Is your
Spouse
Life Partner
Friend
Faculty/Staff
an FSU graduate?
Yes
No
Graduation Year:
PAYMENT INFORMATION*
$
Entire gift in single payment
GIFT DESIGNATION*
I’d like to pay in installments
Area of Greatest Need
Applied Studies
Arts & Sciences
Business
Communication & Information
Criminology & Criminal Justice
Education
Engineering
Fine Arts
The Graduate School
Human Sciences
International Programs
Law
Medicine
Motion Picture Arts
Nursing
Panama City Campus
Parents Association
The Ringling Museum of Art
Student Foundation
Social Sciences & Public Policy
Social Work
Student Affairs—Specify Area
Current Student
Name at time of graduation:
His/Her Name:
MY PLEDGE/GIFT AMOUNT*
Parent
Split gift into
pledge payments starting on
continuing:
Monthly
Quarterly
/
Semi-Annually
/
and
Annually
Apply this gift to an existing pledge
Enclosed is My check
Money order
(PAYABLE TO THE FSU FOUNDATION)
Charge my credit card (PLEDGE INSTALLMENTS WILL BE AUTOMATICALLY CHARGED):
Visa
MasterCard
American Express
Discover
Name as it appears on card:
Card #:
CVV:
Expiration Date:
(3- OR 4-DIGIT SECURITY CODE)
Signature:
ADDITIONAL GIFT INFORMATION
Joint gift with:
Spouse
Life Partner
Undergraduate Studies—Specify Area
University Libraries
Other/Specify Area
REVISED MAY 2017
Is this gift an
honorarium or
memorial gift?
Name of honoree or deceased:
I would like to receive:
Paper pledge reminders
Email pledge reminders
FSU FOUNDATION GIFT FORM — Page 1 of 2
EMPLOYER MATCHING GIFTS
Visit matchinggifts.com/fsu to see if your employer has a matching gifts program.
Yes, my company matches employee gifts. I’ve attached the matching gift form from my employer.
COMMENTS
The FSU Foundation is a 501(c)(3) charitable organization and gifts made to it are tax deductible to the extent allowed by the law.
Visit foundation.fsu.edu/NonprofitDisclosures to view state nonprofit disclosures.
FSU FOUNDATION GIFT FORM — Page 2 of 2