Credit Card Form

Gift Amount and Designations

Gift Amount: Required Field

Designations Required Field

Designations Gold Rush Grants
Greatest Need - Chancellor's Fund
Other Colleges and Units

Selected Designations

Remove	Name	Amount	Percentage
	Graduate School Fund	$
Total:	$0.00	0%

Payment Frequency

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Scheduled Payments

Recurring Gift

Having Trouble Giving? We're here to help. Please contact Shayna Long, at 704-687-7218 or shayna.long@charlotte.edu

Donor Information

Prefix:

First Name: Required Field

Maiden Last (if applicable):

Last Name: Required Field

Suffix:

Affiliation: Required Field

Preferred Class Year: Required Field

List me as "anonymous."

Please note that lists of donors will not include the exact amount of any gift.

Contact Information

Home Address 1: Required Field

Home Address 2:

City:

State:

Zip:

Country:

Personal E-mail: Required Field

Preferred Phone Type: Required Field

Phone Area Code:

Phone Number:

Additional Information

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Matching Gift

Employer Matches Gifts:

Employer:

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Joint Gift

Joint with Spouse:

Spouse Prefix:

Spouse First:

Spouse Middle:

Spouse Last:

Spouse Suffix:

Spouse Employer:

In Honor/Memory

This gift is:

Name:

Please Notify:

Name:

Address:

City/State/Zip:

On Occasion of

On the Occasion of:

I would like someone to contact me about making a gift of life insurance, property, appreciated securities and/or about including the university in my will.

Additional Gift Instructions

Additional Gift Instructions:

AC Event