(Print this page, fill out and return to the address below)
City/State/Zip ______________________________ Country ___________
Home Phone _______________________ Email _____________________
___ This is a payment on an existing pledge. Amount enclosed: $_________
___ I am a new donor. My/Our pledge of $________ will be paid as follows:
Amt/Yr. $_______ x No./Yrs. _____ = Total Pledge $________
Method of Payment
___ Cash/Check (made payable to the NWACC Foundation - BUilding The Future)
___ Visa/MasterCard No: _______________________ Exp. ___________
Name on card ___________________________________________
Signature (authorizing automatic charge of above schedule)
___ My/Our pledge is designated for a specific fund:____________________
___ My company has a matching gift program. A matching gift form is enclosed.
(Use NWACC Foundation Tax I.D. XX- XXXXXXX)
I am a
___ Graduate of NWACC: Grad Year _______ Major ____________
___ Former Student
After completing this form, send along with your payment to:
NorthWest Arkansas Community College Foundation
One College Drive
Bentonville , AR 72712
Call (479) 619-4184 for more information
*The NWACC Foundation also accepts gifts of trusts, bequests, annuities, securities, insurance, real estate and equipment. New endowed funds may be established and named at $10,000 and up. The NWACC Foundation is a 501(c)(3) tax-exempt organization.
For questions/comments on this content, please call 479-619-4184.