Winston-Salem State University Foundation

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Gift Fund Choices

Description

Amount

Total

WSSU Choir Activity/Travel Fund

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WSSU Schola Cantorum

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WSSU Burke Singers

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Faith Webber Alumni Choir Scholarship

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Fred A. and D’Walla Simmons Burke Singers’ Scholarship

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Barney and Catherine Pettie Hart WSSU Choir Endowed Scholarship

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Choose A Frequency

Recurring Frequency:

Total: $0.00

Yes, this is my first time donating!

Donor Information

First Name: *

Middle Name:

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Home Telephone:

Cell Phone:

Check if cell phone & home phone is the same.

E-mail: *

A receipt will be e-mailed to this address.

Additional Information

Affiliation:

Select affiliation to Winston-Salem State University.

Alum Class Year:

If alum, enter preferred class year.

Alum (Non Degreed):

If Alum (Non Degreed), what year would you like to be affiliated with?

Name of Spouse:

If Non-Alum Spouse of Alum, please enter spouse name above.

Comments:

maximum of 350 characters.

Corporate Matching Gifts

The value of your gift could be doubled or even tripled! CLICK HERE to see if your employer will match your gift.

Please choose who will match your gift:

My employer will match my contribution.

My spouse's company will match my/our contribution.

If your employer or spouse's employer will make a matching gift, please contact your Human Resources representative or department for assistance.

Please obtain and submit the necessary paperwork to: Winston-Salem State University Advancement Services 311 Blair Hall Winston-Salem, NC 27199

Contact Information:
Winston-Salem State University
311 Blair Hall
Winston-Salem, NC 27110
Phone: (336) 750-3140 or (336) 750-3162
spencerdt@wssu.edu
smithmar@wssu.edu

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *