EWU Pledge Form

EWU Pledge Form

Record multi-payment gift commitments for scholarships, annual giving, athletics, capital projects, and other EWU priorities.
Donor Information
Full Name/Organization Name (if applicable):
Spouse/Partner Name:
Class Year/Alum:
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:
example@example.com
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other
Pledge Details
Total Pledge Amount (USD):
Designation/Fund/Program:
Other
Installment Amount:
Number of Installments:
Pledge Start Date:
Pledge End Date:
Frequency:
Custom Frequency Schedule:
Payment Method
Please select one:
Name on Card/Account:
Card/Account Number:
Expiration Date:
CVV:
Routing Number (ACH):
Account Number (ACH):
Additional Options
Honoree/Memorial Name:
Employer for Matching Gift:
Signature:
Date:

MonthDayYear
Billing Instructions and Notes
Billing Contact Name:
Billing Email/Phone:
Preferred Reminder Date:
Tribute and Notification Information
Notify Name:
Relationship:
Phone:
Mailing Address or Email for Notification:
Message or Special Instructions:
Return and Remit Instructions
Please make checks payable to Edward Waters University.

Return completed form to: Edward Waters University, Office of Institutional Advancement, 1665 Pearce Street, Jacksonville, FL 32209.

Official gift receipts and pledge reminders will be issued after processing when applicable.
Office Use Only
Date Received:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Batch/Deposit:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Entered By:
Should be Empty:

EWU Pledge Form

Donor Information

Pledge Details

Payment Method

Additional Options

Billing Instructions and Notes

Tribute and Notification Information

Return and Remit Instructions

Office Use Only