I have enclosed a gift of $___________ for membership in the Friends of the UNCG Libraries
( Please make checks payable to Friends of the UNCG Libraries)
Please charge a gift of $ ___________to my credit card:
VISA ___ Mastercard ___
Card Number:__________________
Expiration Date: Month_____ Year______
Name as it appears on the card: ___________________
After completing this form, print it out and and mail to:
Secretary, Friends of the UNCG Libraries
Jackson Library
UNC Greensboro
P.O Box 26170
Greensboro, NC 27402-6170If you are paying by credit card and wish to do so, you may email the form as an attachment to: robin_paschal@uncg.edu
If you work for a company with a matching gifts program, please enclose matching gift form.
Member Categories:
__ Member $25-$49
__ Associate $50-$99
__ Patron $100-$249
__ Benefactor $250-$999
__ Jackson Society $1000+
__ Corporate $100-$499
__ Corporate Tower Club $500+
Name: _________________________________ (please print)
Address: _____________________________________________________________________
Email address: __________________________
Telephone: _____________________________
Affiliation/Title: __________________________ (Company, School, Organization)
Status:
__ Alumni class of _____
__ Faculty/Staff
__ Other
__ Please check if you would like to receive news and information about Jackson Library by E-mail
__ Please check if you would like to receive information about a planned gift or an endowment
