Clemson Fund Pledge Card -- Supporting Clemson Academics

Please print this page, fill in the information and send to:
Clemson Fund, P.O. Box 1889, Clemson, SC 29633-1889

I want to honor the following professor with a Library Laurels award:

Professor's Name:

Department of:

Donor Information:
For proper processing and recording of your gifts, please include the following information:

Name
Clemson Class

Social Security Number

Address

City/State/Zip

Home Phone
Office Phone

Donation amount (check one):___$50 ___ $100 ___ $150 ___ more (specify amount:________)

Method of payment: Check Visa MasterCard
Credit Card Number

Interbank Number for MasterCard
Expiration Date

Print name as it appears on card

Signature

Date

******


Name	Clemson Class
Social Security Number
Address
City/State/Zip
Home Phone	Office Phone
Donation amount (check one):___$50 ___ $100 ___ $150 ___ more (specify amount:________)
Method of payment: Check Visa MasterCard Credit Card Number
Interbank Number for MasterCard	Expiration Date
Print name as it appears on card
Signature
Date