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Giving Form

 

I/we would like to support the MU Extension Center in Greene County by making a gift to The Community Fund in the amount of:

� $1,000    � $750    � $500    � $250    � $100    � Other:  _________

Name(s)  __________________________    Home Phone  ______________

Address  __________________________     Business Phone  ___________

City  _________________________    E-Mail  ________________________

State ________________________   Zip  ____________    

 

I/we would like my/our gift to be used as follows:

� Where needed most    

� Other (please describe)  ________________________________________

� I/we would like to make this gift in memory/honor of (optional) _______________________________________________               

� I/we have included the MU Extension Center in Greene County as a beneficiary in my/our estate plan.

� I/we would like a representative from the MU Extension Center in Greene County to contact me/us to discuss gift planning options.

 

Two Ways to Make a Gift

CHECK - Please enclose a check payable to the MU Extension Center in Greene County.

Or

CREDIT CARD -             � Visa            � MasterCard            � Discover

Card Number  _________________________  Expiration Date  __________

Signature  ___________________________________________________

Print Name  __________________________________________________ 

   I/we can do more!  A matching gift form is enclosed. 

Company Name  _______________
 

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		Greene County University of Missouri Extension Center Site maintainer: David Burton - burtond@missouri.edu Updated 10/07/09
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