Gift Form

This form cannot be submitted electronically.
Please complete, print and mail this form to:

Baldwin Wallace University
c/o Development Office
275 Eastland Road
Berea, OH  44017
For more information, please contact the Annual Fund at (440) 826-2135.

Make checks payable to Baldwin Wallace University.

Name :______________________________________________________________________
Graduation Year:
Home Phone (____)________________________Work Phone (____)_____________________
E-Mail Address________________________________________________________________

Method of Payment:
Check or Credit Card Gift:
      I am making my contribution via:
           Check - Make Payable to Baldwin Wallace University
           Credit Card: (Visa, MasterCard, Discover)
                Name on credit Card:______________________________
                Account Number:________________________________    Date:_____________

Pledge: I prefer to make a pledge which will be paid by June 30th.
Pledge Reminders will be sent by BW in December & May.

My (or my spouse's) employer will match this gift.
Form Enclosed I have contacted the company to initiate the match
Company Name ______________________________________________

I prefer this gift/pledge to remain anonymous.

Yes/No    _________
o         Scholarship & Student Financial Assistance  $_________
o         Faculty Development                                     $_________
o         Classroom Instructional Expenses                $_________
o         Facility Maintenance & Operation                 $_________
o         Library & Learning Resources                      $_________

       Other Program or Designation:
o         Please Designate my gift of $__________________________ to:___________________________

       Memorial Gift:
o         This Gift is in  memory or  in  honor of:____________________________________________
o         Please notify the following individual of my gift: 

Print and complete this form and mail it to:
Baldwin Wallace University Development Office
275 Eastland Road
Berea, OH 44017-2088 
Thank you for your support of Baldwin Wallace University.

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