Annual Fund Donation Form

Total Donation Amount:

Academics

% of

Spiritual

% of

Facilities (Academic & Athletic)

% of

Health Services

% of

Technology/Security

% of

Financial Aid

% of

Area of Greatest Need

% of

I would like my donation to recur:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

Please confirm recurring donation:

I would like to remain anonymous:

YesNo

Please let us know your affiliation with NCS:

This is in honor of:

This is in memory of:

Address & Name of who we should notify of this Honorarium/Memorial gift:

Comments & Other Instructions: