Secure the Archive's Future!

You can help to build the endowed fund of the Voice/Vision Archive. Your generous support of this important project is sincerely appreciated.

Please print and mail this form to:

The Voice/Vision Archive
University of Michigan-Dearborn
4901 Evergreen Road 1040AB
Dearborn, MI 48128-1491

I have enclosed:

________My/our check payable to the University of Michigan-Dearborn for the first payment of a $5,000 pledge to support the Voice/Vision Archive endowed fund. I/we will make gift payments:
________monthly ________quarterly ________semi-annually ________annually

over a period of five years beginning

________My/our check payable to the University of Michigan-Dearborn
for a gift of:
________$50 ________$100 ________$250 ________$500 ________Other

________My/my spouse's matching gift form

You may charge my gift to:

________Visa ________MasterCard ________Amex ________Discover
Account No:________________________________Exp. Date:____________
Signature: ____________________________________________ (Required)
Name(s):______________________________________________________
Address: ______________________________________________________
City:_______________________________ State:______ Zip:_____________
Phone:________________________ E-mail:__________________________

You are welcome to call the Office of Institutional Advancement at 313-593-5130 with any questions or concerns.

For Office Use Only:
EID:_____________AG (campaign) MOX96 (reunion) DR04 (unit) Allocation (303808)