Attachment XVI

Donations Processing Form

Texas State University-San Marcos

Donor information

Given by (if payment is joint, list both names): Click here to enter text.	Phone Number: Click here to enter text.
Address (list contact name if corporate donation): Click here to enter text.	Email: Click here to enter text.

Gift details

Total amount donated: Click here to enter text.	Is this payment eligible to be matched under any matching program? Name of matching company:
One-time gift Pledge (attach pledge agreement) Payment on pledge	What is the purpose of this gift? Click here to enter text.
Is there an account/fund set up?	Name of account: Click here to enter text. Account number: Click here to enter text.

Payment method: Choose an item. (Check # Click here to enter text.) Choose an item. Name on card: Click here to enter text. Click here to enter text. Personal Account Business Account Expiration Date: Choose an item./Choose an item.

Is this gift a Tribute gift in honor of in memory of on behalf of Name: Click here to enter text. Send notification to (name AND address): Click here to enter text.

Special Instructions: Click here to enter text.

Completed by: (name AND contact number) Date: Click here to enter text. Click here to enter a date. Major Gift Officer: Click here to enter text.

Enclose all supporting documentation with the donation. Ensure that all appropriate fields are completed.

Donor Services at 512-245-3022 or DonorServices@TxState.edu