Pledge and Credit Card Form

Please Print and Mail Completed Form to
Office of Institutional Advancement
Georgetown College
400 East College Street
Georgetown, KY 40324

Name: ____________________________________________

In appreciation of Georgetown College and in consideration of the gifts of others, I/we or my/our company commits to give a contribution to Georgetown College in the amount of  $____________. 

Additional funds will be forthcoming through matching funds from my company or my spouse's company _______________________________ ( company's name).

DESIGNATION:

___ Unrestricted support of the annual operating budget
___ Other (please specify) ________________________________________________________

PAYMENT SCHEDULE:

$ _____________ one-time gift in the month of ___________, 20_____

$ _____________ monthly until further notice. Credit Card payments made on 30th of the month.

$ _____________ per year in the month of _____________, 20 _____ until ___________, 20 ____

METHOD PREFERRED:

______ Check. Please remind me in ____________, 20________
______ Credit Card (additional information needed, see below)

Please charge my contribution in the following manner (signature required below):

Card #: ___________________________________________ Expiration: ___________/20____

Name: ____________________________________________ Phone Number: ______________

Signature (required): __________________________________Date: ____________________

If you have any questions please give us a call at (502) 863-8089 and we will be happy to assist you.
Our new fiscal year begins July 1, but pledges can begin at anytime during the year.