CSUB Children's Art Institute Online Gift Form
* Required Fields
Contact Information
Title:

First Name:* Middle initial:
Last Name:*


Address:* Home Business
Please use the address that appears on your credit card or bank statement.
City / State / Zip Code:*


Country:


E-mail:*


Phone:*


Relationship to CSUB:
If alum or student, class year:
(ex: 1967)
Gift Information
Gift Amount:* $ ($10 Minimum, $10,000 Maximum)
Designation: CSUB Children's Art Institute
Specific:
Is this a pledge payment?:Yes No
Is this a joint gift?: Yes No
If yes, Full Name:
If alum, class year:
(ex: 1967)
Payment Information
If you or your spouse work for a company with a matching gift program, obtain a matching gift form from your human resources department and mail the completed form to:


CSUB Foundation
9001 Stockdale Highway
Bakersfield, CA 93311-1099


Card Type: Visa MasterCard
Card Number:
Card Expiration: /
Security Code:*

Name as it appears on card:
I will arrange to have my gift matched: Yes No
Company name (if applicable):

Additional Information
I was referred by:

Special Instructions: