Unite for Gallaudet ® Class of 1975 Pledge Form

Yes, I want to support Gallaudet!

Name: __________________________________________________________

Street: __________________________________________________________

City/State/Zip: ____________________________________________________

Telephone: _________________________________________ TTY Voice Both

Email: __________________________________________________________
Giving Options (Check one box)
Make a five-year pledge of $250 ($50 per year) to the Class of 1975 SAC gift to Gallaudet.
I have enclosed a $50 check payable to Gallaudet University for this year.
Pledge more support to the Class of 1975 SAC gift to Gallaudet: $___________ for ____ years.
* Please check payment options below for your payment for this year.
Note: Any gifts to the SAC can be made as a pledge to be fulfilled in one to five years.
Make an outright cash gift to the Class of 1975 SAC gift to Gallaudet this year:

Giving Level Options (Check one box)
Presidentís Circle ñ Diamond ($5,000 or more)
Presidentís Circle ñ Gold ($2,500 - $4,999)
Presidentís Circle ñ Silver ($1,000 - $2,499)
Amos Kendall Society ($500 - $999)
Laurent Clerc Society ($250 - $499)
Other $ ______________

Payment Options (Check one box)
Enclosed is my check for $ _________ payable to Gallaudet University.
Charge my Visa/Mastercard (circle one)

Card number: _____________________________

Expiration date: _____________ $_____________

Signature: _______________________________
Mail the form to: Office of Development
Gallaudet University
Florida Avenue NE
Washington, DC 20002

Did you know that many companies match their employeesí gifts, multiplying its value? That Gallaudet accepts gifts of stock? That you could name Gallaudet as a beneficiary in your will? For more information, email to james.johnson@gallaudet.edu or visit http://depts.gallaudet.edu/development/                                        #334