Alumni & Friends Pledge Form.  Print and return to:
University Advancement, Ferris State University, 420 Oak St., Prakken 101, Big Rapids, MI 49307.

Name:__________________________________________________________________

Last     First     Middle     Maiden

Name:__________________________________________________________________

Last     First     Middle     Maiden

Address:________________________________________________________________

Street     City     State     Zip

Phone: (     )

Business Phone: (     )

Title:

Employer:

My/our contribution of:

$______College of Allied Health Sciences
$25     $50     $100     $250     $500     $1,000 $__________

$______College of Arts and Sciences

Please designate a specific category in the column to the right.

$______College of Business

Please make your check payable to Ferris State University.

$______College of Education and Human               Services

 

$______Michigan College of Optometry
I wish to pay by:

$______College of Pharmacy

_____MasterCard _____Visa _____Discover

$______College of Technology

Name of card holder:___________________

$______Univ. College/Honors Program

Card number:_________________________

$______Library

Signature:____________________________

$______Bulldog Club – Athletics

Expiration date:_________________

$______Student Activities

 

$______Student Scholarships
_____Please send information about FSU’s lifetime membership clubs.

$______Alumni Association Opportunity Fund
_____Please send information about including FSU in my estate plans.

$______Fund for Excellence (supporting a range of educational activities, the flexibility of this Fund makes it especially helpful).

_____I have made a provision for FSU in my will.

$______Other:_________________________

_____FSU Alumnus/ae
_____Last year attended

___Parent of current/former student

___Friend

Does your or your spouse’s employer have a matching gift program? If so, please enclose employer’s form with your check.