Endowment Gift

Contact Information

First Name:
Last Name:
Street Address 1:
Street Address 2:
City:
State or Province:
Country :	USA Canada Other
If Other Country:
Postal Code/Zip Code:
Phone:
Email Address:

Gift or Pledge Information

My outright gift is: $
My campaign pledge is: $		over years

Payment Information

I will pay by:
		Check in U.S. Dollars drawn on a U.S. bank Make check payable to American Quilt Study Group
		I will contribute monthly
		I will contribute quarterly
		I will contribute yearly
		Credit Card
		Amount: $
		Please contact me to discuss my endowment gift.
		I am interested in a named endowment fund.