Computer Science Donation Form

  Name(s):  ________________________________________________________

  Address:  ________________________________________________________

                    ________________________________________________________

  My/our gift of $ _________________________ is pledged and presented to the North Dakota
  State University Development Foundation.

  This gift is designated for the

  _____  Computer Science Endowment Fund

  _____  Computer Science Scholarhip Fund or

  _____  The Paul Juell Scholarship Fund

•   Cash:  Enclosed is a check to the "NDSU Development Foundation ---
  
    Computer Science" for $ ___________________
  
  
•   Credit Card: Please charge my gift of $ ___________________ to my
  
    [   ] VISA       [   ] DISCOVER       [   ] MASTER CARD      
  
    Account #:  ______________________________________________
  
    Expiration date:  __________________________________________
  
    Signature:  ______________________________________________
  
  

    Matching Gift:   Enclosed is a matching gift from my employer (or my spouse's employer).

  The NDSU Development Foundation is qualified to receive gifts, donations,
   and bequests that are deductible for federal income tax purposes.

  Thank you, from all of us at NDSU Computer Science.