Central Missouri State University Foundation Gift Form

Please provide this information so your gift is recorded accurately:				Yes! Enclosed is my gift to support the:
Name			Class Year	Kappa Sigma Kappa-Theta Chi Alumni Scholarship
Spouse/Partner			Class Year
□ Credit gift equally between my spouse/partner and me.				Amount of gift:	$
□ I prefer that my name not be listed in the Foundation Annual Report				□ Enclosed is a check payable to CMSU Foundation
□ Alumnus □ Faculty/Staff □ Student □ Parent □ Friend □ Company				□ Please charge my gift to:
Home Address				□ Visa □ Mastercard □ Discover □ American Express
City	State	Zip
Home Phone	Work Phone			Expiration Date:
Preferred Email:				Signature:

If you work for a matching gift company, you may be able to increase your gift, often doubling or tripling it.

Name of matching gift company:

□ I have obtained the form from my company and am enclosing it.

You may be interested in other methods of giving to Central Missouri State University:

□ I already have the CMSU Foundation listed as a beneficiary in my estate plan.

Please send me information:

□ I would like information on how to include CMSU in my estate planning, i.e. will, trust, life insurance policy, etc.

□ I would like information about establishing a scholarship.

□ I would like information about becoming a member of the Presidents Society.

Your generosity is appreciated!

Your gift qualifies as a tax deductible charitable contribution.

Mail this form to:

CMSU Foundation, Smiser Alumni Center, Warrensburg, MO 64093

Phone: 660-534-8000 Email: giving@cmsu1.cmsu.edu Web: www.cmsu.edu/foundation