University of Wisconsin-Green Bay
Gift Form

I would like to make a gift to:

_____ The University of Wisconsin-Green Bay Founders Association

_____ The Phoenix Fund

_____ The Weidner Center for the Performing Arts

In the amount of $ ___________. Please charge my ____ Visa / ____ MasterCard.

Account Number: _________________________________ Exp. Date _____________

Cardholder's Name: ______________________________________________________

Signature: ______________________________________________________________

_____ I am sending a check made payable to the Green Bay Fund.

Please print this form and complete prior to mailing to:

Office of University Advancement
University of Wisconsin-Green Bay
2420 Nicolet Drive
Green Bay WI 54311-7001
(920) 465-2074