Please complete the following information. Required fields are marked with an asterisk (*).
Please enter your phone number in the following format: xxx-xxx-xxxx.
Note:The credit card used today will be charged automatically on the same day for all future payments on this pledge based upon the payment frequency schedule indicated below.
*10 percent of all designated gifts will be applied to student scholarships
**Donors who select scholarships will designate 100 percent of their contribution to scholarship support
If you checked the box above, please enter information about your spouse:
If spouse is graduate of the University of West Georgia enter his or her class year:
If you checked the box above, please enter the name of the company.
If applicable, please complete and mail the Matching Gift Form (available from the human resources department of the company that has the matching gift program) to the following address:
University of West Georgia Foundation, Inc.1601 Maple StreetCarrollton, GA 30118
You are about to submit your gift over our secure server. Please check your information carefully for accuracy, and then click "Submit my gift." On behalf of the students, faculty, and staff at the University of West Georgia, thank you for your generosity!
1601 Maple St, Carrollton, GA 30118 (678)839-5000
© 2011 University of West Georgia. All rights reserved.