Biological Systems Engineering » Make a Gift to BSE

Department of Biological Systems Engineering Funds

I/we would like to join other alumni and friends in support of the Department of Biological Systems Engineering Fund.

I/we wish to pledge $__________ over _______ years. Please remind me of my pledge in _____________ (month).
I/we contribute $__________. (Contribution is enclosed.) My company will match this gift; company form enclosed.

I/we wish to have my contribution support

Fund Name (The BSE Newsletter has names of various BSE Funds) : ________________________________________________

Name:____________________________________
E-Mail:___________________________________
Address:__________________________________
City: ____________________________________
State: ___________________________________
Zip:_____________________________________

Please charge my gift of $ _________________ to my: (MasterCard) (Visa) (American Express) Card number ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Expiration date ______________

Cardholder’s name as it appears on credit card (please print):

Cardholder’s Name: __________________________________________
Cardholder’s Signature:_______________________________________
Date ____________________

Make checks payable to University of Wisconsin Foundation and return this form to:

University of Wisconsin Foundation
US Bank Lockbox
PO Box 78807
Milwaukee, WI 53278-0807

If you have specific questions about giving, please contact Brian Hettiger at the UW Foundation (Phone: 608-265-5893; e-mail: brian.hettiger@uwfoundation.wisc.edu).