Senior Class Gift Pledge Form



Make a Leadership Pledge and join:

  President's Circle -- $500 each year, for two years
  The Fourth Century Club -- $250 each year, for two years
  Senior Circle -- $109 each year, for two years

Make a pledge in the amount of:
  The Fourth Century Club -- $250 (Gifts only to the Fund for William and Mary and includes membership into the Legacy Circle.)
  Legacy Circle -- $250 (Gifts to any area listed below)                     
  Senior Circle -- $110 (Gifts to any area listed below)
  $20.10 (Gifts to any area listed below)
 Other gift amount: ($10.00 minimum)(Gifts to any area listed below)


 
 
 
 
Please use my gift for: (pick no more than two designations)
(If no designation is selected, the gift will automatically be allocated to The Fund for William and Mary)

  The Fund for William and Mary (0900)
     Yes, (Supports areas of greatest need)

  Academic Support (not an inter-disciplinary or research institute)
      Please specify department name or program:

  Tribe Club (0200 unrestricted) (supports student athletes),
      OR please indicate which sport:

  Student Organizations Fund (2255) (Must be a tax deductible organization. Designations to organizations that are not "official organizations" will be directed to the Student Organization Fund. The College is not responsible for and is not able to provide an accounting of how monies are spent by individual organizations.)
      Please specify organization:

  Gateway W&M (3218) An innovative financial aid program that puts a quality education within the reach of all Virginians - regardless of their ability to pay.

  'Green' Committee on Sustainability (3281) A campus-wide green initiative advancing W&M's effort to become more efficient and environmentally sustainable in the future by addressing basic concerns for initiating change to a greener campus environment)

* If you would like to make your pledge in honor of a faculty/staff person. please specify when making final payment.
(Note: the Honoree will be notified when your gift has been fulfilled.)


Name:     Local Telephone:
CS Box:     Email Address:      
Anticipated Graduation Date (mm/yy):     WM ID#:

Permanent (Parent's) Address:
Street:
City:   State:    Zip:

Your first pledge payment is due by December 31, 2009