Founder’s Challenge: Donor Recognition Wall

NAME: _________________________________________________________________________________________
Please write your name(s) as you would like to be listed on the donor wall. Subject to University policies and approvals.


YES, I will rise to the Challenge and commit to a five-year pledge of $2,500 or more annually in unresticted support to
the College Fund. In recognition of your leadership support, you will be recognized on the Benefactors Society Founder’s
Challenge Donor Wall in New Cabell Hall.
Please accept my pledge today for the next five years in the amount of:
$ by June 30, 2016
The Benefactors Society
$ by June 30, 2017 The Benefactors Society recognizes alumni
at the following annual giving levels:
$ by June 30, 2018 Dome Level $25,000 and above
Colonnade Level $10,000-$24,999
$ by June 30, 2019 Serpentine Level $5,000-$9,999
Pavilion Level $2,500-$4,999
$ by June 30, 2020

I would like to make my gift in the month of ___________________ through the duration of my five-year pledge.

This is a joint gift, please also credit my spouse: _______________________________________________________

Approval: ____________________________________________________________
Signature - Required

GIVING OPTIONS: Please mail this form with your check or credit card information to:
The College Foundation of U.Va.
P.O. Box 400801
Charlottesville, VA 22904-2801

Please accept my check payable to The College Foundation of U.Va.

Please charge $ to my :

VISA American Express MasterCard

__________________________________ ____________ ________
Account Number Exp. Date CVV Number

_________________________________________________
Signature - Required for credit card charges

My company, ________________________________, will match this gift and I have enclosed their
matching gift form.

If you have any questions, please contact Allison Egidi, Director of Development for Benefactors Society Giving,
at amn2u@virginia.edu or 434-243-8975.
If it is your reunion year, your entire pledge counts towards your reunion class gift.

The University of Virginia fiscal year runs from July 1 to June 30. Your gift is fully tax-deductible.