Donation Form

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Contact Information

Fields marked with an * are required to process your request.
Please send me a Contribution Form by U.S. mail.
Please bill me for the amount pledged below.
Please call me to arrange a confidential appointment to discuss planned giving or scholarship endowment.
*First Name:	M.I.:		*Last Name:
*Address:
*City:	*State:		*Zip:
*Phone:		E-mail:

Contribution Information

Contribution Levels

The Inner Circle	$10,000 or more
Council on Innovation	$2,500 - $9,999
Development Club	$1,000 - $2,499
Mentor	$500 - $999
Partner	$250 - $499
Contributor	$25 - $249

YES! I/We will make a contribution of:

***We do not bill pledges under $15, but welcome such contributions by mail.

Please use my contribution for:

I am employed by the following matching gift employer:

(We will assist in obtaining and processing matching gift forms from these employers. If your employer is not listed, but matches gifts, please include employer name, address and phone in comments below.)

I am a CVTC Graduate.

Year:

Comments:

Please click "Submit This Form" ONLY once.

Thank You from the Chippewa Valley Technical College Foundation.
Your gift to CVTC, regardless of the size or form, will provide the needed funds to:

equip all programs with modern instructional equipment
provide faculty with up-to-date technology expertise
fund scholarships for deserving students and recognizing academic excellence

A confirmation screen will appear; please wait.
If you prefer, print this form, complete, and mail it to:

The Chippewa Valley Technical College Foundation
620 West Clairemont Avenue
Eau Claire, WI 54701-6162

The CVTC Foundation does not sell or share contributor contact information.

A 1.5% service fee is assessed on each donation.

� 2010 Chippewa Valley Technical College
620 W Clairemont Ave Eau Claire, WI 54701
Phone: (715) 833-6200 | Toll-free: 1-800-547-CVTC | Fax: (715) 833-6470