Gift Form
This form cannot be submitted electronically.
Please complete, print and mail this form to:
Baldwin Wallace University
c/o Development Office
275 Eastland Road
Berea, OH 44017
For more information, please contact the Annual Fund at (440) 826-2135.
Make checks payable to Baldwin Wallace University.
Name :______________________________________________________________________
Graduation Year:
Address_____________________________________________________________________
City_____________________________________State______________Zip_______________
Home Phone (____)________________________Work Phone (____)_____________________
E-Mail Address________________________________________________________________
Method of Payment:
Check or Credit Card Gift:
I am making my contribution via:
Check - Make Payable to Baldwin Wallace University
Credit Card: (Visa, MasterCard, Discover)
Name on credit Card:______________________________
Account Number:________________________________ Date:_____________
Signature:______________________________________
Pledge: I prefer to make a pledge which will be paid by June 30th.
Pledge Reminders will be sent by BW in December & May.
My (or my spouse's) employer will match this gift.
Form Enclosed I have contacted the company to initiate the match
Company Name ______________________________________________
I prefer this gift/pledge to remain anonymous.
Yes/No _________
o Scholarship & Student Financial Assistance $_________
o Faculty Development $_________
o Classroom Instructional Expenses $_________
o Facility Maintenance & Operation $_________
o Library & Learning Resources $_________
Other Program or Designation:
o Please Designate my gift of $__________________________ to:___________________________
Memorial Gift:
o This Gift is in memory or in honor of:____________________________________________
o Please notify the following individual of my gift:
Name_____________________________________________________
Address___________________________________________________
City__________________________State___________Zip___________
Print and complete this form and mail it to:
Baldwin Wallace University Development Office
275 Eastland Road
Berea, OH 44017-2088
Thank you for your support of Baldwin Wallace University.

