OFFICE OF ANNUAL GIVING
MSC 3603, 220 UNIVERSITY BLVD.
HARRISONBURG, VA 22807
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Payment options - payroll deduction
This payroll deduction is:  New  Replaces an existing deduction
Prefix:  Mr.
 Miss
My contribution will begin on the next possible pay period and will continue until I
instruct otherwise.
Phone: _________________________Circle one: Home / Work / Cell
Email: ________________________________________________
Employee ID: ___________________________________________
________________________________________________________________________________
Signature Date
Department: __________________________________________
Payment options - check and credit card
MSC: _________________________________________________
Check payments
 Enclosed is my check for $__________________ payable to the JMU Foundation.
Credit card payments
 Please charge my credit card $____________________
Mail to:
 quarterly  yearly (choose one – min. $5)
VISA
Planned gifts
CSV
 I have included JMU in my estate plans.
 Please contact me about planned giving.
________________________________________________________________________________
Signature
Please direct my gift as follows:






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Discover
________________________________________________________________________________
Credit Card No. Exp. Date
J AMES MADISON UNIVERSITY
OFFICE OF ANNUAL GIVING
MSC 3603, 220 UNIVERSITY BLVD.
HARRISONBURG, VA 22807
 one time
MasterCard
 Ms.
 other
Address: _______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
City
State
Zip
Select amount
 $41.67/pay period ($1,000/year)
 $20.84/pay period ($500/year)
 $10.42/pay period ($250/year)
 $4.17/pay period ($100 year)
 $4.17/pay period ($100 year)
 $1.05/pay period ($25 year)
 Other $_______________
Circle one:
American Express
 Mrs.
 Dr.
Name: ______________________________________________
First
MIddle
Last
Duke Club Donors – Please note that all payroll deduction Duke Club
gifts must be manually renewed at the beginning of each calendar year
 monthly
3
My information
2
Madison Vision Fund (#1002301) – where the need is the greatest
Madison Forever Scholarships (#1002133)
Faculty Success Fund (#1000182)
Madison Endowment (#10002548)
Athletic Fund (#1000064)
Other ____________________________________________________________________
Join the President’s Council
President’s Council gifts are $1,000 or more annually, $500 for
graduates of the past 6-10 years and $200 for graduates of the past
1-5 years.
To give online or see how your gift benefits James Madison University,
visit www.jmu.edu/give/about.
[email protected] l (540) 568-3863 l www.jmu.edu/gomad