Secure Online Gift Form

Personal Information

Title:

Name:

Street Address:

Address:
Line 2

(optional)

Address:
Line 3

(optional)

City:

State/Province:

Zip/Postal Code:

- (US Zip+4 portion is optional)

Country:

Home Phone:

Business Phone:

(optional)

E-Mail Address:

Nature of Affiliation with Thomas Aquinas College (check all that apply):

Alumnus
Relative of Student
Faculty
Staff
Board Member
Friend
Visitor
Other

Pledge/Gift Information

Donation Type:

Pledge
Gift

Amount:

$ .

Matching Gift Information

Note: Even if you or your spouse are not currently employed by your company or organization, you may still qualify to double or perhaps triple the value of this gift through that company's Matching Gift Program. Please enter the name of the company or organization with which you or your spouse are affiliated in the space below. Otherwise, you may leave this field blank.

Name of company or organization for matching gift:

(optional)

If you are not sure whether this gift qualifies as a matching gift, you can still enter the name of your company or organization in the space above. Then check the box to the left, and we will contact you regarding that organization's matching gift policy.

Credit Card Information

If your donation type above is "Gift", please enter your credit card information below. Please remember that your credit card information will be encrypted for secure transmission.

Credit Card Type:

MasterCard
Visa
Discover

Credit Card Number:

CVV Number:

(Enter 3 or 4 digit number on back of card)

Expiration Date:

Month:
Year:

Name as it appears on
Credit Card:

Comments (optional)

When you press the "Submit Gift Online" button below, your information will be sent immediately to Thomas Aquinas College. You will not be asked for further confirmation. Please take a moment to verify that all of the information entered above is correct. After submission of this form, your gift will be reviewed, and you will receive an email confirmation of your submission if you gave us your email address. You will receive a paper receipt in the mail after your gift has been processed.