Ford Matching Gift Program to Advance Education
 | Name : Ford Matching Gift Program to Advance Education File Type : Size : 324 KB |
Ford Matching Gift Program to Advance Education APPLICATION (Please PRINT or TYPE all information) You must fill in all information and sign the form. FORD MATCHING GIFT PROGRAM TO ADVANCE EDUCATION Member Complete all items in Section 1 of the application. LAST NAME FIRST NAME Mail to the educational institution along with your contribution made payable to the educational institution. MIDDLE IN SOCIAL SECURITY NUMBER IF DONOR IS CHARITABLE TRUST, FOUND TION, ETC. A GIVE NAME NUMBER AND STREET CITY STATE ZIP CODE COMPANY EMPLOYED BY NAME OF DIVISION OR STAFF E-MAIL ADDRESS BADGE OR DEPARTMENT NUMBER ACTIVE s OR RETIRED s HOURLY s OR SALARIED s NAME OF EDUCATIONAL INSTITUTION TO WHICH GIFT IS MADE: PREFERRED DEPARTMENT/ASSOCIATION/ORGANIZATION TO RECEIVE GIFT AMOUNT OF GIFT EXACT DATE OF GIFT MONTH DAY YEAR METHOD OF PAYMENT CHECK SECURITIES CREDIT CARD CASH IF GIFT IS SECURITIES, PLEASE COMPLETE SECURITY NAME NO. OF SHARES PUBLISHED MARKET PRICE/DATE I certify that the above gift of cash (or securities having a published market price) was made from my own funds (or from the funds Ebook Relate: matching ebook securities ebook institution ebook educational ebook program ebook ford matching ebook educational institution ebook gift program ebook matching gift ebook ford matching gift ebook matching gift program ebook published market price ebook |
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