Medici Circle Gift Form
SCHOOL OF ART | COLLEGE OF MUSICAL ARTS | CREATIVE WRTING | THEATRE & FILM
Other Gift Options
Check boxes: Payment by installment It is my intention to fulfill my commitment by making Quarterly payments Monthly payments In the amount of ________________ Beginning on __________________ Matching gift
My employer is a matching gift company. I am interested in utilizing my employer’s matching gift program. (Please check with your Human Resources department to find out more).
Company name
Match ratio
BGSU payroll deduction
__________ per pay period, beginning on _____________ (month/year)
Employee type Faculty ___ 9 month ___ 12 month Administrative Classified
Medici Circle Helping to Secure a Strong Future for the BGSU School of Art
The Medici Circle School of Art 1000 Fine Arts Center Bowling Green State University Bowling Green, Ohio 43403-0204
BGSU ID number Signature
THE
Date
Please mail form to:
The Medici Circle School of Art 1000 Fine Arts Center Bowling Green State University Bowling Green, Ohio 43403-0204
the 14SOA020
Arts
You Are Invited ...
Medici Circle Gift Form
> To become a Medici Circle Friend
Home address
Annual membership runs from July 1 – June 30
Name(s)
> To become a Champion of the School of Art
City
State
Zip
> To help expand the opportunities for creative and scholarly excellence in the visual arts at BGSU
Telephone (home)
Telephone (mobile)
Email address Total amount of gift: $ Check boxes: Check enclosed (Please make checks payable to: BGSU Foundation, Inc.,/Medici Circle Please charge my gift to my credit card Visa Mastercard American Express
Medici Circle Gift Categories > Studente D’Arte (Available for students only)
> Parente D’Arte
Membership in the Medici Circle helps many of our students gain insights and experiences through visting artists, grants, opportunities to travel to conferences and workshops, and many other initiatives that would otherwise be inaccessible. And your gifts also enable students to travel to and study at SACI each summer in Italy! Please continue your support, or join us! Renew your Medici Circle membership, then visit us and take pleasure in the creativity and talent that you generously support.
$50
> Donatello
$100
> Botticelli
$300
> Raphael
$500
> Michelangelo
$1,000
> Leonardo
$2,000
> Lorenzo Il Magnifico
$3,000
All levels of membership receive invitations to annual Medici events, the Primavera Gala and issues of the Medici Circle newsletter. Annual membership runs from July 1 – June 30.
Discover
CVV code (on back of card)
Signature
Date
EFT (Electronic Funds Transfer)
THE
Since 1980, The Medici Circle has provided funding for a wide range of enrichment activities that complement the traditional classroom experience and further elevate the excellence of School of Art faculty and students.
Exp. Date (mm/yy)
(Available for parents and relatives of students only)
> Ghiberti
Account number
$25
Medici Circle
$5
Checking Savings Amount $5 $15 $25 Other amount _________________ Payment Frequency Monthly Quarterly Annually Financial Institution Account number Bank Routing number Please attach a voided check or deposit slip to this form. Authorization I (we) authorize te BGSU Foundation, Inc. to deduct my (our) contribution from the account indicated above on the 15th of the month. I (we) understand that if I (we) decide to discontinue this plan, I (we) will notify the BGSU Foundation, Inc. at least two weeks prior. Signature
Date
Additional gift options on reverse ASMEDI4DM