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UCD SYMPHONY ENDOWMENT PLEDGE FORM

Name

Address

Phone

Date

Total contribution ($)

Amount enclosed ($)

Payment Schedule

Payments to be received by: 31 December 2000 31 December 2001 31 December 2002

Please make checks payable to UC Davis Foundation/UCD Symphony Endowment, and send them with this form to:

UCD Symphony Endowment Department of Music One Shields Avenue University of California, Davis Davis, CA 95616-8666

Contributions are tax-deductible. Gifts are eligible to be matched by corporations with matching gift programs. individual donors will be listed alphabetically. Total contributions of $1,000 or more and $2,500 or more will be identified by asterisks. If you

prefer that your contribution not be so identified, please check here: [

].

Gift to be matched by my employer: $

The UC Davis Foundation is a California non-profit, public benefit corporation organized for the purpose of encouraging voluntary private support for the benefit of UC Davis and is recognized under federal and state tax laws as a qualified donee for tax- deductible charitable contributions. Responsibility for governance of the Foundation, including investments, is vested in its Board of Trustees, which is composed of community leaders and senior campus administrators.

Privacy Notice

The 1977 California Practices Act requires UC Davis to provide the following information to individuals asked to supply information about themselves:

UC Davis is requesting this information to maintain accurate donor files in the Office of University Relations. Furnishing the information is strictly voluntary and it will be maintained confidentially. The information may be used by other University departments in the regular course of business but will not be disseminated to others except if required by law.

You have the right to review your own data file. inquiries should be forwarded to the Director of Administrative Services, Mrak Hall, University of California, Davis, CA 95616.

Donor’s Consent

The University is grateful for the support it receives from alumni and friends. On of the ways our thanks is expressed is through listing the names of donors in various publications. Should you wish that your name not appear as a donor, please notify us if you have not already done so.

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