Please fill in one: I am a Parent Friend Alumnus/a

If parent, name of student ________________________________

Student’s graduation year ________________________________

Name __________________________________ Class _________

Spouse Name _____________________________ Class ________

Address _______________________________________________

City _______________________ State _____ Zip _____________

Home Phone _______________ Work Phone ________________

Employer _____________________________________________

E-Mail Address _________________________________________

Spouse Employer ________________________________________

Spouse E-Mail __________________________________________

Gift enclosed or pledged $_______________________________

Please charge my gift: ($5.00 minimum) to my Visa MC

Expiration Date ___________________

3 digit V-Code _____________ (3 digit number on back of card)

16 digit Account # ________ / ________ / ________ / _______

Signature ____________________________________________

My company matches gifts. (Please circle) Yes or No

Lenoir-Rhyne is in my estate plans. (Please circle) Yes or No

Please send estate planning information. (Please Circle) Yes or No

Fund for Lenoir-Rhyne Pledge Card

Gift ClubsThe President’s SocietyOld Main $10,000 and overFair Stars $5,000-$9,999Hacawa $2,500-$4,999Tower Club $1,500-2,499President’s Club $1,000-$1,499 *Alumni who graduated in the past 10 years $500 *Alumni who graduated in the past 5 years $250

Quad Club $500-$999Highland Club $250-$499Century Club $100-$249Loyalty Club $1-$99

Please designate my gift as follows:$_____ University’s Greatest Need$_____ Student Financial Aid$_____ School of Nursing$_____ Charles M. Snipes School of Business$_____ School of Education $_____ School of Arts and Letters$_____ Donald & Helen Schort School of Mathematics and Computing Sciences$_____ School of Journalism and Mass Communications$_____ School of Counseling and Human Services$_____ School of Health, Exercise and Sport Science$_____ School of Occupational Therapy$_____ School of Natural Sciences$_____ School of Humanities and Social Sciences$_____ Friends of Music $_____ Friends of the Rudisill Library$_____ Visiting Writers Series$_____ Athletics (specify sport) _________________________________________$_____ Other (please specify)____________________________________________

Our Fiscal Year Ends May 31st