Winston-Salem State University Foundation

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

WSNC 90.5 FM Donation
Thank you for making a gift to WSNC 90.5 FM, a broadcast service of Winston Salem State University. Your donation allows us to continue towards our mission of service to the jazz audience in the region and beyond.

$1,000

$500

$250

$100

$75

$50

$25

Other Gift Amount

Choose A Frequency

Recurring Frequency:

Payer 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: *

Telephone:

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.

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.

If your employer or spouse's employer will make a matching gift, please contact your Human Resources representative or department for assistance to obtain and submit the necessary paperwork.

Contact Information:
Winston-Salem State University
311 Blair Hall
Winston-Salem, NC 27110
Phone: (336) 750-2184
www.wssu.edu
www.wssufoundation.org

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *