I want to give to APSU

Directories

APSU Index

APSU

Alumni & Friends

Publications

Athletics

Govs Club

I want to give!!

Yes! I want to join APSU alumni and friends by participating in the Annual Giving Program.

Please use the following form to make a pledge/gift, credit card, or an electronic fund transfer contribution. If your browser doesn't support forms, please send e-mail to puffenbargerj@apsu.edu and we will mail you a pledge form.

Please note: Electronic fund transfer form requires Adobe reader. You may download the current version by clicking on the following link: *Acrobat Reader.

All gifts should be mailed to:   University Advancement
                                             Austin Peay State University
   P. O. Box 4417
       Clarksville, TN 37044

Your gift is tax deductible, as allowed by law.

I/We would like to join the following giving club to support Austin Peay State University:

President's Society
Ziegler Circle . . . $10,000 or more
Claxton Circle . . $5,000 to $9,999
Harvill Circle . . . $2,500 to $4,999
Morgan Circle . . $1,000 to $2,499

Other Giving Clubs
Columns Club . $500 to $999
Sentinel's Club . $250 to $499
Century Club . . $100 to $249

First Name:
Middle Name:
Maiden Name:
Last Name:
Previous Name:	Are you known to Austin Peay by any other name?
Address Line 1:
Line 2:
City:
State:	Zip Code:
Phone:	(Please include area code)
E-Mail:

My gift of has been mailed to the above address.

Please debit my/our bank account per month through the APSU Electronic Funds Charitable Contributions Program. Complete and return the Authorization form along with a voided check.

Please charge my gift/payment automatically to my credit card (VISA/MC). Complete and mail the credit card form.

I prefer to complete this gift by making payments of in the months : (indicate by checking). Please send pledge reminders during the months indicated below.

Sept	Dec	Mar	June
Oct	Jan	April	July
Nov	Feb	May	August

Please direct my gift to:
The Academic Scholarship Fund
Emerald Hill Alumni Center Restoration and Expansion Program
Unrestricted - Use where the need is greatest!
The following college, department scholarship, or program: (Please be specific.)

My company (or my spouse's) will match this contribution for a total gift of Matching Gift Program: You can double or triple the size of your gift if you are employed by one of the more than 1,000 companies with matching gift programs. These companies often match the charitable gifts of their retirees and, in some cases, gifts made by an employee's spouse. Your personnel office will supply you with the appropriate form which should be returned with your gift. The University cannot initiate this action.

Spammer Verification:
Word Verification
(Please enter the characters you see in the image to the left)

Credit Card Form
For your protection, we are unable to accept credit card donations via the Internet. Please fill out, print and mail this form and we will be pleased to process your gift.
Card No.:____________________________________
Expiration Date:________

VISA MC
Gift Amount:__________ Signature:_______________________________ Name:___________________________Grad Yr______ (Print) Address:__________________________________ City:_____________________________________

Mail to: Austin Peay State University
           Annual Giving Program
            P. O. Box 4676
            Clarksville, TN 37044

University Advancement
Austin Peay State University
Browning Building, Room 216
P. O. Box 4417
Clarksville TN 37044

Telephone: (931) 221-7127
Fax: (931) 221-6289

For questions or comments, please email wirtsm@apsu.edu