Winston-Salem State University Foundation

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for making a gift to Winston-Salem State University.
We accept Visa, MasterCard, American Express, Discover and electronic checks.

AREA OF GREATEST NEED

Description

Amount

Total

Annual Fund / Unrestricted

---

Choose A Frequency

Recurring Frequency:

ACADEMIC SCHOOL(S), COLLEGES, DEPARTMENTS & CAMPUS PROGRAMS

Description

Amount

Total

---

Other

Athletics

Description

Amount

Total

---

Other

Choose A Frequency

Recurring Frequency:

Scholarships

Description

Amount

Total

---

Other

Choose A Frequency

Recurring Frequency:

Total: $0.00

Donor Information

Salutation: *

Other Salutation:

First Name: *

Middle Name:

Last Name: *

Suffix:

Other Suffix:

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.

Tribute Information

Tribute Gift Type:

Honoree Title:

Honoree Name:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *