Name :______________________________________________________________________
Address_____________________________________________________________________
City_____________________________________State______________Zip_______________
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 College
¨ Credit Card: (¨ Visa ¨ MasterCard ¨ Discover)
Name on credit Card:______________________________
Account Number:________________________________ Exp. Date:_____________
Signature:______________________________________
¨ Pledge: I prefer to make a pledge which will be paid by June 30th.
o Pledge Reminders will be sent by B-W in December & May.
¨ Matching Gift Company: 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.
Please designate my Gift/Pledge as follows:
· Annual Fund: I prefer my Annual Fund unrestricted monies applied to:
o Area of Greatest Need $_________
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:
Name_____________________________________________________
Address___________________________________________________
City__________________________State___________Zip___________
Print and complete this form and mail it to:
Baldwin-Wallace College Development Office
275 Eastland Road
Berea, OH 44017-2088
Thank you for your support of Baldwin-Wallace College.

