Personal and contact information: First Name:  Last Name:  Contact information is for: Home  Work/Business Address:  City:  State:  AKALARAZCA COCTDCDEFL GAHIIAIDIL INKSKYLAMA MDMEMIMNMO MSMTNCNDNE NHNJNMNVNY OHOKORPARI SCSDTNTXUT VAVTWAWIWVWY Zip:  Phone:  ()    -   Email:  Your commitment ... Gift/pledge amount:  I wish to designate my gift to :     Please select a Fund OKC-GO! Scholarship Fund General Student Scholarship Fund Robert P. Todd Leadership Scholarship Lloyd and Marge Bartlett Memorial Endowment Fund Technology and Equipment Fund Academic Division of Business College General Endowment Student Scholarships Area of Greatest Need Other (please specify below) Enter any information on Other Designation including school, division, department. As a small token our our appreciation, may we list your name, graduation year if applicable, and city of residence in our annual report of donors? Note that we don't list individual amounts. Yes (recognition name filled out below)   Please do not list me in the annual report Recognition name:     I would like this gift/pledge to be recorded in :     in honor of ...   in memory of ... Name of in person I wish to pay tribute to:     Payment methods Check:  Complete this form, print 2 copies and click the submit button. Send a copy of the form, and your check (made payable to Oklahoma City Community College Foundation) to: Oklahoma City Community College Attn: Pat Berryhill 7777 South May Avenue Oklahoma City, OK 73159 Please keep the second copy for your records. Credit Card:  If you would like to put this on your credit card, please call 405-682-7591. Pledge:  Please complete the information in the next section regarding the details of your pledge. Other payment types:   If you would like to make a payment through direct deposit, transfer of securities or property,        gifts in kind, life insurance, inclusion in a will or other payment types, please check this box.        The Foundation will be in contact with you. If this is a pledge ... Please send me a reminder:: Yes    No First payment starts on (yyyy-mm-dd): Amount of each payment: Number of payments: Increase your impact by having your gift matched My employer: My employer's matching gift form:  is enclosed will be mailed later Please help me determine if my employer will match my gift My spouse's employer: Comments, questions or observations? Please send me information on the following:  Planned Giving Copy of Annual Financial Report Campaign Progress Report When you make your pledge or gift, a replicate of the form will be shown if sent successful. You may print this for your records.