University of Prince Edward Island, UPEI, Charlottetown, PE, Canada

 

 

 

 

 

 

 

>>> download a pledge form (pdf format)

>>> back to the Alumni and Friends website

 

 

 

 

 

 

 

 

Thank you for choosing to make a gift to UPEI. Through your support, you help ensure that UPEI continues to be an outstanding resource for our province, our region and our nation.

Please note: This is a secure site. Read more about the Personal Information & Privacy Policy at UPEI. A charitable tax receipt will follow in the mail. Fields marked with an * are required in order to process your gift. Thank you!

 

 

 

 

Make Your Gift

 

 

 

 

 

 

 

 

 

 

*Gift Amount $

 

 

 

 

 

 

 

*Gift Type

 

 

 

 

 

 

 

 

If you have indicated that your gift represents a Monthly, Quarterly, of Annual Installment, please complete the fields below:

 

 

 

 

 

 

 

Start Date:

15th of

Number of Installments:

 

 

eg: If you selected monthly payments, they will be processed on / around the 15th of the month indicated above, for the number of months indicated in the box to the left.

 

 

 

 

Designate your Gift

 

 

 

 

 

 

 

 

I would like to make a gift to:

 Click on the down arrow for more options.

 

 

Please specify:

 

 

 

 

Honour / Memorial (if applicable)

 

 

 

 

 

 

 

 

This gift is in honour of;  in memory of:  

 

 

 

 

 

 

 

 

 

 

 

We would be happy to notify the family of your kind gesture. If you wish for us to do so, please provide the name and address below. The amount of your gift will not be disclosed.

 

 

 

 

 

 

 

Recognition of Your Gift

 

 

 

 

 

 

 

 

Please indicate how you would like your name(s) to appear in any donor listings that may apply to your gift:

 

 

 

 

 

 

 

 This gift is anonymous.

 

 

 

 

Personal Information

 

 

 

 

 

 

 

 

*Title:

 Dr      Miss      Mr      Mrs      Ms

 

 

*Last Name

 

 

*First Name

 

 

Middle Name / Initial

 

 

 

 

 

 

 

 

Home Address Information

 

 

*Street Address

 

 

Apartment / Unit #

 

 

*City / Town

 

 

*Province / State

 

 

*Country

 

 

*Postal / Zip Code

 

 

*Phone Number
(Please include area code)

 -  -

 

 

Email

 

 

*Are you a PWC/SDU/UPEI Alumnus?  Yes     No

 

 

Is your spouse/partner a PWC/SDU/UPEI Alumnus?   Yes     No     n/a

 

 

 

 

 

 

 

 

Spouse’s/Partner’s Information

 

 

 

Last name

 

 

First name

 

 

Middle name

 

 

 

 

Credit Card Information

 

 

 

 

 

 

 

 

*Choose one:

Visa

 

 

 

 

Mastercard

 

 

 

 

American Express

 

 

 

*Card Number

 

 

Please enter your credit card number without any spaces or additional characters (hyphens, slashes, etc.)

 

 

*CVV Number

 

 

CVV for Visa and MasterCard is the final three digits of the number printed on the signature strip on the back of your card. CVV for American Express appears as a separate 4-digit code printed on the front of your card.

 

 

*Expiry Date

 

 

 

*Name as it appears on the card:

 

 

 

 

Additional Information

 

 

 

 

 

 

 

 

I would like to find out more about making a gift to UPEI through my estate: bequests, gifts of life insurance, or other planned gifts. Please send me further information.  Yes     No

 

 

Additional comments:

 

 

 

 

 

 

 

 

 

 

(This button will cancel your gift without submitting any information.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thank you - a charitable tax receipt will be sent to you in the mail.
 

 

 

Development & Alumni Engagement, Steel Building, 550 University Avenue, Charlottetown, PE Canada C1A 4P3

telephone (902) 894-2888 or toll free 1-866-453-4119
fax (902) 566-0782 dev-alumni@upei.ca

Charitable Reg. #
10816 2108 RR0001

Copyright 2012 | © University of Prince Edward Island