College of Business: University of Illinois at Urbana-Champaign

Development Office

2019 Business Instructional Facility
515 East Gregory Drive
Champaign, IL 61820
Phone: 217.333.6434
Contact us via email

College » Development » Senior Legacy » Pledge - Step 1

Pledge: Step 1

Step 1: Enter your pledge information

Please use this form to specify a recurring gift you would like to make. If you prefer to make a one-time contribution, you may do so online now through our secure giving site.
 
Last Name:
First Name:
UIN
Local Address:
Apt. #:
 
 
City:
State:
Zip:
 
Permanent Phone:
Cell Phone:
Current Email:
Permanent E-mail:
(Please provide us a valid email address that you can be reached after graduation)
 

 I would like to pledge:
 
  $75 over three years (15 + 30 + 30)
$120 over three years (20 + 50 + 50)
$250 over three years ($50 + $100 + $100)
$500 over three years ($100 + $200 + $200)
per year for 3 years
 

 

I would like my name included on the list of donors       Yes No

Thank you! Your donation is tax deductible as allowed by law.
 
Post-Graduation Information:
 

Permanent Address
City:  
State:      Zip:  
Country:  
Phone:  
Email:
 		  
 

Future Employer


Please enter N/A if you do not yet have this information
Company:  
Country  
Phone Number:  
Email:
 		  
 

I am going to work for a company that will match my pledge and I will complete the matching gift form when I make my payment
  Yes    No    Uncertain

 

 

 

UIUC College of Business