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Gifts made through this page, go to support the Polytechnic Fund, our annual unrestricted fundraising effort. Click here for a description of the Polytechnic Fund.
Personal Information * Denotes required information

First Name:*

Last Name:*





Address:*

City:*





State:

Zip:*
5 or 9 digits w/dash




Country: *



Phone:
10 digits; No dashes or spaces

E-mail: *



Donor Alumnus/a
  Faculty/Staff
  Friend
  Parent

Payment Type
 
Payment may be made by: * Mastercard
  American Express
  Visa
  Discover


Please include the following information
Cardholder's Name *
(Exactly as on card)





Card Number *
(No dash)




Expiration Date: *

/ (Month/Year)

Gift Amount:* $50
  $100
  $150
  $200
  Other: $
Matching Gift (Click here for an explanation)
Yes
Company Name:
No


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* Matching Gifts

Many employers have Matching Gift programs whereby they will match (1:1, 2:1, 3:1) gifts made by their current and in some instances retired employees to institutions of higher learning. You can check with your Human Resources department to see if your employer participates and to obtain the necessary forms.

Matching Gifts are a way to have your initial gift enhanced by your employer with the credit going to you. And depending on your initial gift, matching gifts can put you in a different donor category. For example a gift of $50 matched 1:1 brings you from the Donor category to the Century Club. (back to form)

There is also a thank you message after the form is processed.


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