Donation Form - Emporia State University

Hornet Nation needs YOU!
Giving to Emporia State University provides sustainable resources for scholarships, academics, and athletics. There truly is no better investment than supporting the hopes and dreams of a student, and your gift has the ability to make a life-changing difference.

Gift Information

If you would like to make gifts to multiple funds, choose an additional amount & designation and select "Add Gift."

Amount:

$ 1,863.00

$ 1,000.00

$ 500.00

$ 250.00

$ 100.00

Other

$

*

Designation:

Theatre Program Enhancement

Additional Gift Information

Please select the Type of gift: one-time gift, recurring gift, or pledge. If pledge, select the installment $ amount above, then calculate the # of installments by multiplying frequency per year (Monthly=12, Quarterly=4, Annual=1) x # of years.

Type of gift:

One-time gift
Recurring gift (on-going monthly)
Pledge (up to 5 years, with monthly, quarterly or annual installments)

Corporate:

This gift is on behalf of a company

Anonymous:

I prefer to make this gift anonymously

Comments:

Billing Information

Title:

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First name:

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Last name:

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Country:

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Address lines:

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City:

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State:

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ZIP:

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Phone:

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Email:

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Payment Information

Cardholder's Name:

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Credit Card Number:

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Card Type:

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Card Expiration:

/

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Card Security Code:

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Matching Gifts

Please contact your business office for the appropriate matching gift paperwork or online instructions. Please send paper forms to our Gift Records Manager, Katie Werly, at 1500 Highland St, Emporia, KS 66801 or kwerly@emporia.edu.

My company will match my gift

Additional Security

This is a security measure to help prevent fraud.

Tribute Information

Type:

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First name:

Last name:

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Mail a letter on my behalf to

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