The University of St. Thomas

School of Engineering

Giving Form

Giving Form

I would like to contribute to the success by Giving to the School of Engineering.  Please apply my contribution to the following designations (check all that apply): 

􀀀 Engineering Student Excellence Fund (90904)    

􀀀 Board of Governors Scholarship Fund (91419)    

􀀀 Memorial Scholarship - Indicate name of honoree ________________________

Name(s)                            ___________________________________________________________

Address, City, State, Zip ___________________________________________________________

                                            _________________________________________

                                            _________________________________________

Phone _______________ E-mail address __________________________

 

Below are four options for how you may give: electronic funds transfer, electronic payment through credit card, online payment, or enclosing a check. Please print and mail this completed form to:
Development Office, University of St. Thomas, PO Box 64947, Saint Paul, MN 55164-0947. 
Contact Mike Rowan at (651) 962-6977 or (800) 328-6819, ext. 2-6977 with any questions.

 Option 1: Credit Card

I authorize St. Thomas to charge my: 􀀀 Visa 􀀀 MasterCard 􀀀 Discover 􀀀 American Express

Monthly: 􀀀 1st or 􀀀 15th of the month, beginning ______/______ (month/year) and ending ______/_______ (month/year), for a total gift of $__________________

Yearly: 􀀀 on the 1st of ___________ (month), for the next _______ years, with a final payment on ________/________ (month/year), for a total gift of $_________________

Ongoing: 􀀀 on the 1st of ___________ (month), for a monthly gift of $_________________ until I request the deductions to stop.

Card No. ________________________________ Exp. ___________

Name on card _____________________________________________

Signature _________________________________________________

 

Option 2: Electronic Funds Transfer – Checking Account (You must include a voided check.)

I authorize my bank to make payment(s) out of my checking account and to post them to my account.

 Monthly: 􀀀 1st or 􀀀 15th of the month, beginning ______/______ (month/year) and ending ______/_______ (month/year), for a total gift of $__________________

 Yearly: 􀀀 on the 1st of ___________ (month), for the next _______ years, with a final payment on ________/________ (month/year), for a total gift of $_________________

 Ongoing: 􀀀 on the 1st of ___________ (month), for a monthly gift of $_________________ until I request the deductions to stop.

Signature ________________________________________________

Option 3: Pay Online:  https://webapp.stthomas.edu/OnlineGiving/

Option 4: Pay by check

My check for $__________ is enclosed. Make check payable to University of St. Thomas.

􀀀 I am including my Employer Matching Grant Form

THANK YOU!