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Dr. Tim Carr
SEPM Foundation President
“Giving Back…Moving Forward” Campaign

SEPM Foundation, Inc.
6128 E. 38th Street, Suite 308
Tulsa, OK 74135-5814
800-865-9765

 Dear Tim:

In recognition of the need to ensure outstanding programs and services to the members of SEPM, I/we hereby pledge and commit our support and the sum of $____________ to the SEPM Foundation’s Endowment Campaign.

Please handle this pledge as follows (you will be sent reminders): 

• __  I/We will pay this pledge over a __ year period (not to exceed 5 years).

• I/We will pay this pledge (check one):
  __Annually            ___Semi-annually            __Quarterly

• The first payment of $__________is enclosed.

If you wish to have your pledge applied to a specific area, please apply this pledge to:
(otherwise the donation will be used as needed within these four areas)

• Student Funds:  Hsu Fund__, NAMS Fund__, Sanders Fund__, Weimer Fund__,
• Research Conference Funds__
• Publication Funds:  Harleton Fund__
• Education Funds:  Murray Fund__

This pledge may be publicized            __Yes            __No

My company matches employee contribution            __Yes            __No 

I/We understand that investment of cash or other assets to the SEPM Foundation are tax deductible, as provided by law. 

Recognition items that are provided for contributions at the $25,000 level or above, when accepted, will reduce the tax-deductible amount.
Do you wish to receive the recognition item?   __Yes            __No

Name: ___________________________________             

 Mailing Address:   _________________________________________________

 (Street, City, State and Zip)   _________________________________________________

Date:  _____________