Fitts-Woolard Pledge Form | ISE Department

Fitts-Woolard Hall Pledge Form

The Fitts-Woolard Pledge Form is straightforward and simple. You can complete it below or download the Fitts-Woolard Pledge Form (PDF 123KB), whichever you prefer. So let’s get started!

Do you have any questions? Griffin Lamb | grlamb@ncsu.edu will be glad to answer all your questions.

Donor Information
Date
MM slash DD slash YYYY
Name * Required
First Last
Address * Required
Street Address Address Line 2 City State ZIP Code
Phone
Email * Required
Recipient Information
Name
Tax ID#
Designation **

** To name a space in Fitts-Woolard Hall subject to terms in a separate naming agreement to follow in accordance with North Carolina State University’s Board of Trustee’s Policy concerning Criteria and Procedures for Naming Facilities and Programs. (Policy 3.00.2)
Gift / Pledge Information
Gift/Pledge Amount ***
*** Please do not include matching gifts in the Gift/Pledge Amount. You will receive recognition credit for matching gifts.
Payment Method
- Cash / Check
- Securities
It is my/our intention to fulfill this gift/pledge over a five year period according to the following schedule:
Payment #1 Date
MM slash DD slash YYYY
Payment #1 Amount
Payment #2 Date
MM slash DD slash YYYY
Payment #2 Amount
Payment #3 Date
MM slash DD slash YYYY
Payment #4 Date
MM slash DD slash YYYY
Payment #4 Amount
Payment #5 Date
MM slash DD slash YYYY
Payment #5 Amount
Gift / Pledge Options
Donor Advised Fund
- I/we will donate through the following donor advised fund. I/we acknowledge that for my/our commitment to be recognized fully as a commitment to the Designation above, I/we are personally responsible for its satisfaction.
Donor Advised Fund
Matching Gift
- NC State University can also expect to receive a matching gift from the following company/organization.
Company / Organization
Amount
In grateful recognition of the impact of this gift, the donor agrees that their gift may be publicized. * Required
- I agree that my gift may be publicized
- I DO NOT agree that my gift may be publicized
Signature * Required
Date * Required
MM slash DD slash YYYY
Signature #2
Date
MM slash DD slash YYYY
Are You a Robot? * Required
I am not a Robot
Name
This field is for validation purposes and should be left unchanged.

Do you have any questions? Griffin Lamb | grlamb@ncsu.edu will be glad to answer all your questions.

Fitts-Woolard Hall Pledge Form

Donor Information

Recipient Information

Gift / Pledge Information

Gift / Pledge Options