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Pledge A Gift Form
To make a pledge, please fill out this form, designating the amount you want to pledge as well as any gift designations. When you click on the submit button at the bottom of the page, the information you entered in the form will be sent directly to the Office of Institiutional Advancement (see privacy statement at bottom of page).
If you have questions, please call 1-866-372-2586 or (304)367-4713
Personal Information
First Name
Last Name
Address
City
State/Province
or enter Non-U.S State/Province
Country
or enter a Country
Zip Code
Email Address
(optional)
Telephone
(optional)
The best way to reach me is:
Email U.S. Mail Telephone

What is your primary affiliation with Fairmont State?
If alumnus/alumna, enter class year

and select school

Accreditation
I wish for this gift to be credited anonymously
I wish for this gift to be credited jointly with my spouse
Spouse's Name:
My company matches gifts (to find out if your company or your spouse's company matches gifts, contact the company's human resources department or check this online company search).
Company's Name:

Gift Allotment
$ Unrestricted $ Scholarships
$ Business and Economics $ Education
$ Fine Arts $ Health Careers
$ Health and Human Performances $ Language and Literature
$ Science and Mathematics $ Social Science
$ Technology $ Library
$ Athletics    
$ Other (Please Specify):  


Describe any instructions regarding your pledge.

To help us improve our web communications, please tell us how you found this web site:
  Referred by solicitation letter. Please enter the solicitation code from the letter.
  Referred by phone campaign.
  Browsing the Web on my own.
  Email. Please enter the solicitation code from the email.
  Other


                  

Thank You!

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Privacy Statement: Information provided on this form will be used by the Fairmont State Office of Institutional Advancement solely for the purpose of crediting you correctly for your gift. Personal information contained in the Office of Institutional Advancement's records is used only for Fairmont State-related business and will not be shared with outside parties.