We invite you to become a supporter of
WYCLIFFE HALL
The John Wycliffe Scholarship Fund
OXFORD
PLEDGE FORM Name Street address City
State
Zip
Phone (home)
Phone (cell)
Email:
1. ONE-TIME DONATION
OR
Please tick one:
ANNUAL DONATION AMOUNT Please tick one:
■ $5,000 ■ $3,000 ■ $2,000 ■
Other: $...........................
■ $250 ■ $200 ■ ■
2. METHOD
$150
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Other: $...........................
Credit card (circle one) Visa MasterCard Amex
Discover
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Cash (enclosed)
Card #:
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Check (enclosed)
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Electronic Funds Transfer (please attach a voided check and sign below)
■
Stock (a representative from the Friends of Wycliffe Hall will contact you)
Expiration date:
(Please make checks payable to Friends of Wycliffe Hall Oxford and write ‘John Wycliffe Scholarship Fund’ on the memo line)
3. FREQUENCY
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One-time
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Monthly
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Quarterly (March, June, September, December)
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Annually:
Number of years (circle one):
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2
4. OTHER OPTIONS
■ ■ ■
Tribute Gift: This gift is in honor / memory (circle one) of: Planned Gift: Please contact me/us about making an estate/planned gift Anonymous:
I/we wish to remain anonymous
To whom should we send acknowledgements: (Name and address)
5. RECOGNITION Your name(s) as you would like it to appear on donor recognition materials:
DONOR SIGNATURE Signature(s):
Date:
THANK YOU FOR YOUR DONATION TO THE JOHN WYCLIFFE SCHOLARSHIP FUND Your gift will provide scholarship assistance to a student with demonstrated financial need. Contributions to Friends of Wycliffe Hall (Tax ID # 26-2891822) are charitable under section 501(a) of the Internal Revenue Code as an organization described in section 501(c)(3). Payments must be received before the end of the calendar year to be eligible for a tax deduction in this year.
Contact Information Stephanie Cocke, U.S. Coordinator, Friends of Wycliffe Hall Oxford, 707 Nicolet Avenue, Suite 100, Winter Park, FL 32789, U.S.A. E: stephanie@friendsofwycliffehall.org T: +1 713 598 1526 www.friendsofwycliffehall.org
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