GIFT/PLEDGE
GIFT/PLEDGE FORM
FORM

Give today. Empower Innovation for theGivetoday.
Help students
Futureof Okinawa
and thetomorrow.
WorldGift designation
designation( Indicate name of fund, project, department, greatest need, etc.)
Greatest Need
This gift will support _______________________________________( Indicate name of fund, project, department, greatest need, etc.)
This gift is in ■ memory of ■ honor of ____________________________________
Notify _____________________________________ Address _____________________________________________

Gift Note

Giving method
method This
Thiscommitmentcommitment will
will bebe mademadein
inthe
thefollowing
followingmanner:manner:GivingOne-time Gift
One-time gift in the amount of $ ________________
Recurring Gifts■ Monthly■ Quaterly■ Semi-Annually■ Annually
Please charge my credit card or deduct from my bank account $ ____________ per month.
PledgeI (we) wish to make a total pledge of $ __________ fulfilled via equal monthly
installments of $ ____________ beginning ____________ (Date) Pledges can be no longer than 5 years.
■ I am atttaching/enclosing my first pledge payment of $ ____________ (Optional)
Payment method
method For donations over $5,000.00 the Foundation requests these be made via check or bank transfer
one-time gifts
or first pledgepayment)
Personal checkpayableto theOISTFoundationenclosed (For■ Personalcheckmademadepayable
to theGeorgia
Stateis UniversityFoundationis enclosed(For one-timegifts or first pledge payment)■ Voided personal check is enclosed (For scheduledscheduled gifts
gifts totobe
bededucteddeductedfromfromcheckingcheckingaccount)account)■ Credit card (For one-time gifts, recurring gifts, or pledge payments)■ Credit card online – If you prefer, you can also make a secure gift at giving.gsu.edu/givenow
oistfoundation.org/donate■ Other (Please describe the method of payment, e.g., stock transaction, etc.) ________________________

Credit Card Number:■ Visa■ MasterCard■ AmEx■ Discover

Expiration Date (MMYY)

CVV

Donor
Donor information
information

Matching
Matching gifts
gifts

Please acknowledge and credit this gift in the following way:

Many companies
donationsto theFoundation
madebybyManycompaniesmatch
matchdonations
to OIST
Georgia
State madetheir employees. By taking advantage of this benefit, you may
double or even triple the value of your contribution.

Primary Donor Name
Spouse/Partner’s Name (Only provide if this is a joint gift.)

Check with your human resources office to learn whether youremployer matches charitable gifts, or search for your employer
on our matching gift database at matchinggifts.com/gsu.
Does your company match gifts?

Address■ Yes■ NoYour company ______________________________________CityStatePhone

EmailZip■ I have enclosed the matching gifts form.
■ My employer and/or I will send the form at a later date.

■■You have my permission to publish my/our name(s)as donors
I wish to remain anonymous.

Return completed form to:
OIST Foundation
Georgia
State University Foundation
1 BridgeP.O.
Box Street2668
Suiter 64GA 30301-2668
Atlanta,Irvington, NY 10533

Signature (required)

DateDonations
via checkshouldMakechecks
payableto: be made out to: OIST Foundationand mailed
to usUniversity
at: 1 Bridge
Street, Suite 64, Irvington, NY 10533
GeorgiaStateFoundation

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