Thank you for making a commitment to
The Ann Wayson Locher Memorial Fund for HIV Care at The University of Toledo.

Your support is greatly appreciated!
Ann Locher
Please complete the following pages so that we may receive and acknowledge your contribution as quickly and easily as possible. We appreciate your commitment to support The University of Toledo. In return, the UT Foundation assures you that all sensitive data and personal information involved in the online gift process is handled through our secure server.
If you are an employee of The University of Toledo or UT Medical Center, please go here for payroll deduction and other giving options.
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Please enter the code from the mailing or email you received (e.g. AG2013 ABC123 PML)      
The Ann Wayson Locher Memorial Fund for HIV Care $

Other designation not listed above:
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(will automatically be calculated when you tab here)

Special instructions for this gift:
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A) I am paying by credit card. (Your credit card will be processed immediately upon submitting the page.)

B) I will mail a check or money order for the entire gift made payable to:
The University of Toledo Foundation
PO Box 586
Toledo, OH 43697-0586

(On the memo line, please indicate the area of support or fund name. Include a copy of your confirmation page with the check or money order.)

C) I am making a pledge.  I will begin my payments at a later date. (Fill in the pledge details below.)

Charge my credit card for each installment as it comes due.
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I will mail a check now for my first installment. (Reminders for future installments will be sent to you as they come due.)

D) I am making a pledge.  Charge my credit card for my first payment now. (Fill in the pledge details below. Your credit card will be charged for the first installment immediately upon submitting this page.)
Charge my credit card for all my future installments. (If this is NOT checked, reminders for future installments will be sent to you as they come due.)

If you are making a pledge (by choosing option C or D above), please give us the details of your pledge:

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Note: Payroll deduction frequency options are available for UT employees only.The minimum payroll deduction amount is $5.00 per pay.

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Do you or your spouse work for a company that will match your gift?
Many employers sponsor matching gift programs that can double or triple your contribution to UT. If you are unsure if your company is a matching gift company or have questions about matching gift ratio, eligibility or procedure, click here.

Please note, your company's match counts toward your gift recognition level.

I will obtain a matching gift form from my employer and send it to the UT Foundation at 2801 W Bancroft St MS 319, Toledo, OH 43606
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If this gift will be matched by spouse's employer please indicate below:
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