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Giving to SIUE
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Please print and fill out this form, then mail it to:

SIUE FOUNDATION
CAMPUS BOX 1082
EDWARDSVILLE IL 62026-1082



Name (Last): __________________________   (MI): ____   (First):_____________________

Spouse (Last): _________________________   (MI): ____   (First):_____________________

Address1: __________________________________________________________________

Address2: __________________________________________________________________

City: _________________________________   State: _________________  Zip: _________

Home Phone: ___________________________   Email: ______________________________


There are numerous funds at the SIUE Foundation for the academic units, academic departments, and academic and University programs as well as various student award and scholarship funds. The following list represents some of the giving opportunities at the SIUE Foundation. To ask about a specific fund, please call Pat Mesnard at 618-650-2345. Gifts may be divided among funds. If you wish to designate your gift to multiple funds, please indicate the amount to go to each fund by the fund’s name.


Please direct my gift as follows:


$ __________   SIUE Advancement Fund (Gifts to the SIUE Advancement Fund may be used at the discretion of the SIUE Foundation’s Board of Directors to help meet campus priorities.)


College and Schools          Examples of University Programs



$ __________  College of Arts & Sciences (03901)

$ __________  School of Business (03001)

$ __________  School of Dental Medicine (03101)

$ __________  School of Education (03201)

$ __________  School of Engineering (03301)

$ __________  School of Nursing (03601)

$ __________  School of Pharmacy (03950)

$ __________  Lovejoy Library (04026)

$ __________  Graduate School (04048)



$ __________  Arts & Issues (04040)

$ __________  Cougar Athletics (04060)

or specify sport ____________________

$ __________  East St. Louis Center (04080)

$ __________  The Gardens (03715)

$ __________  Student Affairs (04081)

$ __________  University Museum (04017)

$ __________  WSIE (04250)

$ __________  Other, please specify: ___________________________________________


Total Contributions: $ _________________



Do you work for a matching gift company? (yes/no) : ______________________________
(if 'yes' please list name of company)

   
  My check is enclosed, made payable to the SIUE Foundation
   
  I wish to pay by credit card: ___ VISA ___ MasterCard ___ Discover ___ American Express

  Card Number: _______________________________  Expiration Date: ______________



  
  Signature: ______________________________________________________________

The SIUE Foundation is a 501(c)(3) organization. Contributions are tax-deductible to the extent allowable by law.
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