Pledge Form

Gifts may be made in support of MSU's new Biomedical and Physical Sciences Facility in the form of cash, check or credit card. Please make checks payable to Michigan State University. All gifts to MSU are tax deductible as provided by law. For more information, please call (517)355-8257.

I/We wish to give $___________________ designated for MSU's new Biomedical and Physical Sciences Facility.

Please credit me my spouse and me with the gift

Payment Options:
Enclosed is my total contribution of $____________
Enclosed is my initial contribution of $___________

Please send me pledge reminders

__ Annually; __ Semi-annually; __ Quarterly.

(Pledges are payable over a 3-year period.)

Please charge my: Visa MasterCard

__________________________
Card #
_________________________
Signature

___________
Exp. Date
___________
Today's Date

___________________________________
Name

___________________________________
Address

___________________________________
City State Zip

___________________________________
Daytime phone Home phone

* Matching gift credit:

I work for a matching gift company.

____________________________________
Employer

* Many companies will match an employees gift with a corporate gift, sometimes at more than a 1-to-1 ratio. If your company matches your gift to MSU, credit for that matching gift will be included in the pledge amount and on your record. Your matching gift credit will count toward membership in one of our donor recognition groups.

Please send more information about:

Frank S. Kedzie Society
MSU Benefactors
John A. Hannah Society
Beaumont Tower Society
Presidents Club
Presidents Club Associates

For Employees Only
Payroll Deduct __________________________ Department	___________ Campus Phone

_______________________________________
Campus Address

Employee Group Salary Labor Grad

Convenient Payroll Deduction ($5.00 a month min.)

Deduct my gift in ____ monthly installments
beginning in ___________(month)

Deduct my gift in one lump sum from my
_________(month) check

Your gift will automatically be renewed each year unless you check this box.

Please return this form to:
Biomedical and Physical Sciences Facility
University Development, 4700 S. Hagadorn Rd., Suite 220, East Lansing, MI 48823-5399