SAE Donor Form

Donor Information
Name*
First Last
Today's Date*
Month
Day
Year
Initiation Year (ex. 1994)*
Graduation Year (ex. 1998)*
Preferred Address*
Street Address City State / Province / Region ZIP / Postal Code
Preferred Phone Number*
Email*
Donation designation
I designate my gift to the campaign*
Gift Commitment
I commit and agree to make a 100% tax-deductible donation to support the NEL-P SAE635 Campaign and renovation project in the amount of:*
Amount you would like to donate*
Gift Structure
Single, monthly, or annual installments are available*
Amount*
Made on*
Month
Day
Year
I would like my installments billed over a period of:*
- One Year
- Two Years
- Three Years
Amount*
Preferred billing date*
MM slash DD slash YYYY
Amount made annually*
Preferred billing date*
MM slash DD slash YYYY
Amount made annually*
Preferred billing date*
MM slash DD slash YYYY
Amount*
Billed monthly to my credit card for*
- 12 months
- 24 months
- 36 months
Payment Information
I would like to pay by*
- Check
- Credit/Debit Card

Donor Information