Please fill the form online and print it for mailing it in. Please include this form with your check. If you want to use your credit card, please give us your card information on the form, manually sign it and mail it to us.
Membership Information:
Name WKU Grad
Additional Names WKU Grad
Street Address
City
State    Zip
E-mail Address
Work Phone (include area code)
Home Phone (include area code)
$50 annual membership includes all benefits for one individual (July 1 - June 30)
$100 annual membership includes all benefits for the entire family (July 1 - June 30)
Unless indicated below, your tax-deductible gift will be divided equally between the Helm-Cravens Library and the Kentucky Library and Musuem
$ Helm-Cravens Library $ Kentucky Library
$ Glasgow Campus Library $ Kentucky Museum
I wish to make a gift of $ in the name(s) of .
Check (include your check and make it payable to WKU Foundation)
Credit Card:    VISA      MasterCard      AMEX      Discover
 

Card/Acct. No.
Expiration
Signature (sign here)

I prefer to make my gift by electronic funds transfer on a monthly basis.
Deductions to begin in month of
Amount to be withdrawn monthly $
(Transfers are made by the 10th of each month. Please return in an evelope a voided check of the account to which the monthly transfer will be charged.)
   
My gift is eligible to be matched by my employer. I have enclosed my company's matching gift form.