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Electronic Pledge Form
NICC Alumni Electronic Pledge Form
I would like to make a pledge of $
I will make payments in the amount of $
over
#
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Select Time Frame
Months
Quarters
Years
beginning
(date).
This gift is:
Unrestricted: Use where the need is greatest.
Designated for the following college or program:
Do you work for a company that matches gifts to the College?
Yes.
No.
Multiply the impact of your gift with employer matching. You, or your spouse, may work for a company that matches its employees' gifts to higher education. These programs are a great way to double or even triple your gift to NICC.
Name:
Street Address:
City:
State:
--
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code:
Telephone:
(with area code)
E-mail:
Class Year:
(if NICC Alumnus)
Employer:
Title:
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