Give to Cooper Union: Fax/Mail Form

Fax/Mail Form

Yes! I want to support Cooper Union.

Please fill out this form, print it and send with either a check payable to The Cooper Union or provide your credit card information and send it to:

The Cooper Union
30 Cooper Square, 8th floor
New York, NY 10003.

Also, if paying by credit card this form can be faxed to 212.353.4327.

To change any element on this form or to clear it entirely, just press the "Reset" button at the bottom of the form.

I am making a gift/pledge in the amount of (please check one):

$50	$100	$250	$500
$1,000	$2,500	$5,000	$10,000	$ Other

I want my contribution to support (please check one):

Annual Fund

Other

Name

Address

City, State, Zip

Home Phone Office Phone

Fax Email

Company Affiliation

Business Title

Enclosed is my check payable to The Cooper Union

Please charge my credit card:

Visa MasterCard American Express

Card Number

Expiration Date

Signature

MATCHING GIFT PROGRAM
You can double or triple the size of your gift if you or your spouse is employed by one of the more than 1,000 companies with matching gift programs. These companies often match contributions of their retirees too. All you need to do is obtain the form, fill out your portion, and send it to us. We'll take care of the rest.

Enclosed is my company's matching gift form