M. P. Baker Library Expansion Project
Donor Form

To make a gift, please:

1. Print this form,

2. Send the completed form, along with your check to:

Panola College Foundation

Attn: Mr. Van Patterson

1109 W. Panola

Carthage, TX 75633

Yes, I want to help Panola College make a difference in the lives of others – today, tomorrow, and for years to come.

                I pledge a total of $_____________________________________________________

                            [] Payable yearly at $ _________________________ per year over three years

                            [] I have enclosed a contribution of $__________________________________

                            [] Other________________________________________________________

                                Please make checks payable to the Panola College Foundation.

                Name: _______________________________________________________________

                Address: ______________________________________________________________

                               ______________________________________________________________

                               ______________________________________________________________

                Phone: ________________________________        Email : ______________________

                Signature ______________________________         Date ________________________

Is this gift eligible for matching funds?  [ ] No [ ] Yes,
 

Employer ______________________________________________________________________

In addition to a cash gift, the Building A Legacy campaign will be pleased to accept stocks, bonds, personal property, and multi-year payment in fulfillment of your pledge. The Panola College Foundation is organized and shall be operated exclusively for charitable and educational purposes as defined in section 501 (c) (3) of the Internal Revenue Code.