Donor Advised Fund Grant Recommendation Form So that we may serve you better, please complete this form as fully as possible. As an advisor to the_________________________________________________________________________ (Name of Fund)
I (we) suggest the following grant(s) of $1,000 or more: Organization name __________________________________________________________________________ Contact person name & title __________________________________________________________________ Address:____________________________________________________________________________________ City:_______________________________ State:_______ Zip__________ Phone: (_____) ______________ Amount: $__________________ Purpose of grant (e.g., general operations, capital campaign, specific program, endowment, etc.). Support for ________________________________________________________________________________________ ___________________________________________________________________________________________
Organization name __________________________________________________________________________ Contact person name & title __________________________________________________________________ Address:____________________________________________________________________________________ City:_______________________________ State:_______ Zip__________ Phone: (_____) ______________ Amount: $__________________ Purpose of grant (e.g., general operations, capital campaign, specific program, endowment, etc.). Support for ________________________________________________________________________________________ ___________________________________________________________________________________________
The distribution(s) suggested above are advisory only and do not represent satisfaction or discharge of any pledge or other financial obligation, in addition, the distributions(s) will not result in any personal benefits to the undersigned, such as a membership, tickets to events, etc. By signing this form, I acknowledge that I am acting on behalf of all donor advisors to the fund listed above. Advisor’s signature
Date
Print Advisor’s name Date Please mail or fax this form to the University of Alabama Donor Advised Fund at the address below.
Donor Advised Fund Box 870122 Tuscaloosa, AL 35487 (205) 348-4767 or (888) 875-4438 Fax: (205) 348-8871 www.daf.ua.edu