Give to WOU Online * Required field

GIFT DESIGNATION AND AMOUNT
Gift designation:		Gift amount: $ .00 (Not less than $5.00)*
	I would like to designate my gift to multiple destinations (optional).
Gift designation:	Please select a program or uncheck the box above	Gift amount: $ .00 (Not less than $5.00)*
Gift designation:	Please select a program or uncheck the box above	Gift amount: $ .00 (Not less than $5.00)*
Please enter a gift amount Looks like there might be a problem with the amount you typed in
	I would like this to be a one-time gift (processed today) I would like to make this a recurring gift
How often?		Please choose how often this gift will occur
What date should it begin?		Please enter a date
Number of occurrences?	A specified number of times (enter a number in the box): Please enter a number Ongoing with no end date Please select the number of occurrences

PAYMENT INFORMATION
	Pay with Credit Card Visa, MasterCard, American Express, Discover	Pay with Check Check
	*Cardholder Name:	Please enter your card number Your card number must have 13-16 digits
	*Card number:	Please enter your card number Your card number must have 13-16 digits
*Exp. date:		Please enter an expiration date
	*Card security code (CSC): What's this?	Please enter the verification code The verification code must be 3 or 4 numbers
	*Check Routing Number:	Please enter your check routing number Please enter your check accounting number
	*Account Number:

CONTACT INFORMATION
	*First name:	Please enter your first name
	*Last name:	Please enter your last name
	*Phone:	Please enter your phone number Your phone number should in the format xxx-xxx-xxxx or (xxx) xxx-xxxx
	*Email:	Please enter your email address Looks like your email address might not be valid
	Alumni Parent Friend

	2nd Person
	2nd Person's First name:	Please enter your first name
	2nd Person's Last name:	Please enter your last name
BILLING ADDRESS
	*Address: Please enter the billing address
	*City:	Please enter the city
	*State:	Please enter the state
	*Zip:	Please enter the zip codeZip code must be in the format xxxxx or xxxxx-xxxx
TRIBUTE INFORMATION
	Type:	Please enter the billing address
	Name:
	Mail a letter on my behalf
	Name:
	Address:
	City:
	State:
	Zip:	Zip code must be in the format xxxxx or xxxxx-xxxx
EMPLOYER MATCH
Your gift to Western Oregon University could be doubled! Many employers will match charitable gifts made by current and retired employees and their spouse/partners. It is easy! Just look up your employer and follow the directions from there to double your gift.
	Matching Gifts Company Lookup
I or my spouse/partner work for a company that matches charitable gifts and will submit my form to WOU Foundation.
	Company Name:
	You may wish to check with your company's Human Resources department to find out if it has a matching gift program, and then submit the appropriate paperwork to the WOU Foundation.
EMPLOYMENT INFORMATION
Please help us keep your business information up-to-date.
	Job Title:
	Company:
	Work Address:
	Work City:
	Work State:
	Work ZIP:
	Work Phone:
	Work Email:
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If you have any questions or if you would like to make any changes to the terms of your donation, please contact Jan Carlson, Gift Processing and Donor Services, by calling 503-838-8725 or emailing carlsonj@wou.edu THANK YOU FOR YOUR SUPPORT OF WESTERN OREGON UNIVERSITY! We have partnered with Authorize.Net, a leading payment gateway since 1996, to offer safe and secure credit card transactions. The Authorize.Net Payment Gateway manages the complex routing of sensitive customer information through the credit card and electronic check processing networks. The company adheres to strict industry standards for payment processing. Privacy Policy