Contribution Form

Library Building Project

Please print form, complete and mail to:

SOU Foundation
1250 Siskiyou Boulevard
Ashland, OR 97520

Name:__________________
Address:__________________
City:____________State:___Zip:______
Phone:_________________
Email:__________________

Gifts

Please make check payable to the SOU Foundation.
___ $1000
___ $500
___ $250
___ $100
Other $____________

Gifts may also be charged to ___Visa or ___MasterCard
Card number_________________
Expiration Date____________
Signature_________________

___I wish to pledge the sum of $____________ to the Library Building Project.
___Please send me a reminder.
___Please bill me monthly.
___Please bill my credit card monthly using the above information.
___Please send forms for direct bank debits.
___Please make monthly payroll deductions. (Attach authorization forms.)

Library Naming Opportunities

___Please contact me about naming opportunities in the Library Building Project.

Direct inquiries to Teresa Montgomery at montgomery@sou.edu or (541)552-6837.