Gifts by Mail

An Online Math Education Community Center

Gifts by Mail

The following information will be completely confidential and will not be used for any purpose other than your contribution(s) to The Math Forum @ Drexel. View The Math Forum's privacy policy. If you wish to make your gift by phone, please call 215.895.2619 and specify your gift for The Math Forum.

Please complete all sections of this form and forward to:

The Math Forum
ATTN: Records, Gifts and Stewardship
3141 Chestnut Street, Suite 310
Philadelphia, PA 19104

First Name:

___________________________

Middle Name:

_____________

Last Name:

______________________

Address1:

_______________________________________

Address2:

_______________________________________

City:

___________________________

State:

__________

Zip

____________

Phone:

___________________________

Email:

___________________________

Please select the amount of your gift:

$5,000

$2,500

$1,000

$500

$250

$100

$50

$25

$10

Other:

____________________

Special Instructions:

_________________________________________________________________________________

Enclosed is my check or money order payable to "The Math Forum/Drexel University"

Please charge $

___________

[complete amount from above] to my AMEX/DISCOVER/MC/VISA [please circle]

Account number:

_____________________

Expiration (mm/yyyy):

____

Authorized Signature

____________________________________

Your signature above authorizes The Math Forum/Drexel University to charge your account the amount indicated above.
Thank you for your support!

Matching Gifts:

Many companies match employee and retiree contributions to educational organizations, which may make your contribution go 2, 3, or 4 times as far! See if your/your spouse's company has a matching gift program.
If you do qualify, please complete the information below, obtain a matching gift form, and enclose it with your gift.
* Please fill out this section if you work for a company with a corporate matching gift program (see above).

Your Title:

____________________________________

Your Employer:

____________________________________

Address1:

_______________________________________

Address2:

______________________________________

City:

___________________________

State:

__________

Zip

____________

If retired, please check here.

Please complete the following questions to help us improve The Math Forum:

Please indicate any aspects of the Math Forum that you find particularly useful or worthy of support:

Ask Dr. Math

Problems of the Week

Teacher2Teacher

Internet Mathematics Library

Discussion Groups

Teacher Exchange

Math Tools

Online Workshops

Other:

____________________________

Your role:

Student

Teacher

Instructor/Professor

Parent/Guardian

Administrator

Mathematician

Researcher

Consultant

Policymaker

Sponsor/Foundation

Staff

Other:

________________________________

Level of the resources in which you are interested (if appropriate):

All

Elementary

Middle

Secondary

College

Graduate

Adult Education

Other comments you would like to make:

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

Privacy Policy

Suggestion Box || Home || The Math Library || Help Desk || Quick Reference || Search
_____________________________________

webmaster@mathforum.org