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Summary: CAMPAIGN UW: CREATING FUTURES
FACULTY-STAFF-RETIREE: CAMPAIGN FOR STUDENTS
ENDOWMENT PLEDGE FORM
NAME:
SPOUSE /PARTNER
NAME:
(EIN) UW EMPLOYEE ID:
DEPARTMENT:
BOX:
PHONE:
I wish to remain anonymous for publication purposes EMAIL:
NAME OF ENDOWMENT:
BRIEF STATEMENT OF PURPOSE:
PLEDGE DESIGNATION:
University-wide, College, or Program: Campus:
Scholarship* Fellowship* Professional Scholarship* Student Support*
*$5,000 minimum donor commitment; matched 1:1 up to $10,000 (no maximum on donor pledge amount)
INTENT FULFILLMENT INSTRUCTIONS:
Total Contribution: $
(minimum $5,000 contribution)
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