Faculty/Staff Pledge Form
"Lynchburg College: A Beacon of Excellence: Scholarship, Community, Leadership"
Your Full Name: Your Spouse's Full Name:
I wish to make my gift by Payroll Deduction.
My Pledge Per Paycheck: $ Paychecks Per Year: 12 26 Total Pledge Per Year: $ Number of Years: Total Pledge: $
Please start my Monthly Bi-Weekly payroll deduction on this date: .
Other Giving Options
I/We will send a check (payable to Lynchburg College) in the amount of $.
Please send me a pledge reminder on
I/We would like to charge my gift to a credit card.
Please call Ann Childress (434) 544-8290, Gift Recorder and Office Services Specialist, to pay by Visa, Master Card, or Discover.
Designate Your Gift
My/our commitment is to be allocated as follows:
$
TOTAL GIFT
Optional information.
Make your gift in honor or memory of a special person. (The amount of your gift will not be disclosed)
This pledge/gift is in honor of (name/s). Please send an acknowledgement letter to (address).
This pledge/gift is in memory of (name/s). Please send an acknowledgement letter to (name) at (address).
Does your spouse's employer match? Yes! In addition to my/our personal support of the Campaign, the College may expect to receive matching funds from: .
Email Address
Thank you for supporting excellence at Lynchburg College!
If you have questions about your gift/pledge, please contact: Ann Childress, Gifts Recorder, x8290 Development Office, 2nd Floor Hall Campus Center