The ALTA Endowment
Contribution Form
To make a contribution to The ALTA Endowment, print this page, fill out the appropriate information, and return it to the ALTA offices.
1 Circle the amount of your contribution.
| $100 | Friend |
| $250 | Sponsor |
| $500 | Benefactor |
| $1,000 | Patron |
| $2,500 | Founder |
| $5,000 | President's Circle |
| $10,000 | Rainer Schulte Fellow |
| $______ | (other amount) |
2 To make a recurring pledge in support of The ALTA Endowment, please specify the amount and duration of your contribution:
I pledge $ _______ per year for the next _____ years.
3 Please let us know your contact information.
| Name | 0 | ||
| Address | 0 | ||
| City | 0 | ||
| State | 0 | Zip |
0 |
| Country | 0 | ||
| Phone(s) | 0 | ||
| 0 | |||
4 To pay by credit card, please fill out the following:
| Circle one | VISA or MasterCard |
| Number | 0 |
| Expiration | 0 |
| Name on card | 0 |
| Signature | 0 |
5 Mail the completed form (with your check, if you are paying by check) to:
The ALTA Endowment
The University of Texas at Dallas
Box 830688 -- Mail Station JO51
Richardson TX 75083-0688
Thank you for your gift.