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Donation Form

Please fill out the form below, print, and send in with your payment.
Name:
Organization:
Address:
City/State:
Country/Zip:
Telephone:
E-mail:
Yes, I want to support the ASBC Foundation by contributing to:
(Please check the fund or funds you would like your donation to go to.)

General Endowment Fund
Brian Williams Fund - More Information
Graduate Student Travel Grant Fund - More Information

I/We would like to make a gift of a:

One time donation of $
Pledge of $500/year for five years
Pledge of $1000/year for five years
Pledge of $ /year for years

Optional: If contributing $1,000 or more, name of the scholarship:

I/We would like to make the contribution by:

Cash/Check  (Please make checks payable to the appropriate ASBC Foundation fund - ASBC Foundation General Endowment Fund, ASBC Foundation Brian Williams Fund, or ASBC Foundation Graduate Student Travel Fund)
Credit Card (select below)

VISA Mastercard American Express

Cardholder:
Card #:
Expiration Date:

Signature: _______________________________________

If your employer sponsors a matching gift program, please complete and send the matching gift form along with your donations.

Gift of Securities via:

Mail (Obtain a stock power from your broker or bank and sign it as your name is shown on the stock certificate. Mail the certificate and the signed stock power to the ASBC Foundation in separate envelopes.)
Broker (Contact your broker and arrange for a transfer irrevocably to the ASBC Foundation. Have your broker contact the ASBC Foundation for details.)
Hand Delivery (Securities can be hand delivered to ASBC or given to an ASBC staff member at a time and location convenient to you.
 

Additional Ways to Give:

I have included the ASBC Foundation in my will.
Please contact me on how to include ASBC Foundation in my life insurance planning, or will or other estate plans.
 
Please print this form and fax to:
+1.651.454.0766

or mail, along with your donation, to:

ASBC Foundation
3340 Pilot Knob Road
St. Paul, Minnesota 55121 U.S.A.

 
ASBC is a 501(c)(3) organization, qualified to accept tax-deductible contributions during donor lifetime or bequests by will. Donations may be tax deductible. Consult your tax advisor on how current law applies to you.
 
For further information, contact Beth Elliott, +1.651.454.7250.