Yes! I want to be a Nursing Faculty “Shareholder”

($25 increments)

• ______ $ 25.00 (1 “share”)
  
• ______ $ 100.00 (4 “shares”)
  
• ______ $ 250.00 (10 “shares”)
  
• ______ $ 500.00 (20 “shares”)
  
• ______ $1,000.00 (40 “shares”)*
  
• ______ $1,250.00 (50 “shares”)*
  
• ______ $2,500.00 (100 “shares”)
  
• ______ $______ Other

* Purchasing 50 “shares” or more designates you as a “Major Shareholder” of this faculty scholar. Purchasing 40 or more “shares” qualifies you as a Nightingale Society Member.

*The fine print: “Stock shares” are fictitious and not intended for any purpose other than for marketing this faculty appeal. They are not redeemable, transferable, or meant to be used for anything other than promoting the MU Sinclair School of Nursing's faculty!

Your gift will be acknowledged with a certificate indicating you as a "shareholder." (see image above)

Name:___________________________________________________________

Phone#: _________________________________________________________

Email:___________________________________________________________

Address: _________________________________________________________

City/StatE/Zip: ___________________________________________________________

Making Your Gift
(All gifts are tax-deductible) (*If gift is eligible for corporate matching, please enclose your form.)

• Check Please make checks payable to MU Sinclair School of Nursing,
  and reference “Faculty Shareholder” in the subject/reference line.

• Credit Card (circle one)

Master Card

Visa

Discover

 

 

Card # ______________________________________________________ Exp: _______

Name on Card ______________________________________________________

Signature: _________________________________________________________

Date: _______________

• Pledge To make a pledge (for amounts over $1,000*) please contact Tracy Feller, Director of Development, S219 School of Nursing, Columbia, MO 65211. Pledges can be paid over time and by MU payroll deduction.
  

Please print out and mail this form to:

Director of Development
S219 Sinclair School of Nursing
Columbia, MO 65211

For questions or other ways your donations can impact our School, please contact the Office of Development.