Tuskegee University Office of Development | Ph: 334.727.8540 | Email: kfloyd@tuskegee.edu

Please make checks payable to: Tuskegee University | P.O. Box 1304 - Tuskegee Institute, AL 36087

You can also donate online at: www.tuskegee.edu/inauguration/investinexcellenceAll donations are tax-deductible in accordance with IRS regulations.

Donor Information:Full Name (first, middle and last):________________________________________________________________________ Grad Year: ______

Mailing/Street Address: ______________________________________________________________________________________________

City, State and Zip Code: _____________________________________________________________________________________________

Employer: ________________________________________________________________________Office Phone: ______________________

Email Address: _____________________________________________________________________ Personal Phone: ___________________

Spouse/Partner’s Name (if a joint gift): ________________________________________________________________ Grad Year: _________

Employer: _________________________________________________________________________ Office Phone: __________________

Email Address: _________________________________________________________________________ Personal Phone: ________________ Pledge Information:I/we hereby pledge our support of President McNair’s “Campaign for Leadership and Excellence” as follows:$ _________________________ to be paid: q Now q Monthly q Quarterly q Annually Beginning date: __________________________________________ to be paid over ____________ months.Payment options: q Cash q Check q Tiger Draft (Automatic Bank Draft) q Credit Card

Please charge my: q Visa q MasterCard q American Express q DiscoverCredit Card Number: ____________________________________________________________________________________________Exp. Date: __________________________________________________________________ CVC Code: ________________________

Tiger Draft: (Automatic Bank Draft) - Please attach a voided check.Routing Number ___________________________________________________ Account Number _________________________________

Public Recognition:Tuskegee University may publicly acknowledge my commitment: q Yes q No

Estate/Gift Planning:q I have included Tuskegee University in my estate plans.q Please have someone contact me about opportunities to make a gift through my estate.

Agreement:My signature below confirms my decision to make a charitable gift or pledge to Tuskegee University, and if requested, my authorization to charge my debit/credit card or draft my bank account until my pledge is fulfilled.

Signature:_________________________________________________________________ Date: ________________________________

A NEW ERA ofLEADERSHIPand EXCELLENCE

Campaign for Leadership and exCeLLenCe in support of student sChoLarships