University Advancement

University Advancement
J. C. Kellam Building
601 University Drive
San Marcos, TX 78666
Ph: 512-245-2396
vpua@txstate.edu

Please print this form and mail it to:

Texas State University-San Marcos

JCK 480

601 University Dr

San Marcos, TX 78155

Name Maiden Name

Address Class Year

City State Zip

E-mail Birth Date

Home Phone ( ) Work Phone ( )

Employer Matching Gift Company? Yes No

Spouse’s Name Maiden Name

Spouse’s Employer Matching Gift Company? Yes No

Spouse Texas State Grad? Yes Class Year No

Yes I/We will support Texas State University-San Marcos with a tax deductible gift of $ to go to:

2 Semi-annual Installments

12 Monthly Installments

In full

4 Quarterly Installments

Annual Fund Other

which will be paid:

The gift is made in the form of:

Enclosed personal check (Please make checks payable to Texas State University)

Visa MasterCard American Express

Card #: Exp. Date:

No gift enclosed today, but I/we would like our first payment to be paid in the month of .

Would you like your name to be published in recognition of this gift? Yes No

Signature Date

I would also like more information about:

___ Joining the Texas State University Alumni Association

___ Making a planned gift to Texas State University-San Marcos.

Texas State University-San Marcos is a member of the Texas State University System.