| Name* |
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| Company Name* |
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| Mailing Address |
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| Phone Number* |
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| E-mail Address* |
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| Is this an: |
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| 2006-2007 Annual Fund Gift Amount |
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| Gifts of $25 and above will be listed in donor recognition materials |
| I wish to remain anonymous |
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| Please list my name in donor recognition materials as: |
|
Matching Gifts |
| If you qualify for a matching corporate gift, |
| please indicate the company and enclose the matching gift form. |
| Company Name |
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| Gifts of Securities |
| If you wish to give appreciated securities, please contact the VSCPA |
| Educational Foundation at (800) 733-8272 or foundation@vscpa.com. |
| Planned Giving Opportunities |
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| I am interested in information about bequests to the |
| Educational Foundation through planned giving such |
| annuities, charitable remainder trusts, charitable lead trusts, |
| charitable bequests or beneficiary designations. |
Payment Information |
| This is a SECURE transaction |
| Name on Card |
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| Card Number |
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| Total Amount Charged |
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| Expiration Date |
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