SHRM Foundation It's your Future

SHRM Foundation Donate Now! Scholarship, Research, Rewarding, Continuing Education, Beneficial! www.shrmfoundation.org. Yes! I want to support the SHRM Foundation with a tax-deductible contribution of: $25 $50 $100 $250 $1,000 (other) ______________________________________________________________ I wish to become a member of the Leadership Circle with my donation of $1,000 now, and my pledge to contribute at least $1,000 in both of the next two annual campaigns. 1. Donation Type (select only one): Individual Donation State Council Donation ___________________________________________________________________________________________________ State Council Name Chapter Donation ______________________________________________________________________ ____________________________ Chapter Name Chapter Number (if known) Organization/Company Donation ___________________________________________________________________________________________________ Organization/Company Name Tribute: If this donation is either in honor of or in memory of someone, include the name of the individual being honored/memorialized and address for the SHRM Foundation to send a notification of the tribute gift to the honoree or family of the memorialized. In Honor of OR In Memory of ___________________________________________________________________________________________________ Honored/Memorialized Individual ___________________________________________________________________________________________________ Address Request from donor: _ ______________________________________________________________________________________________________________________________ 2. Donor Contact Information: _____________________________________________________________________________________________________ ______________________________________________________ Name SHRM ID _____________________________________________________________________________________________________ ______________________________________________________ Organization Today’s Date ____________________________________________________________________________________________________________________________________________________________ Address _____________________________________________________________________________________________________ ___________________ __________________________________ City State Zip ____________________________________________________________________________ ______________________________________________________________________________ Daytime Phone E-mail 3. Payment Information: Check enclosed, payable to “SHRM Foundation” Charge my VISA MasterCard American Express ____________________________________________________________________________________________________________________________________________________________ Name on Card _____________________________________________________________________________________________________ ___________________ __________________________________ Card Number* CVV* Exp. Date* ____________________________________________________________________________________________________________________________________________________________ Signature Today’s Date Please mail this form with your contribution to: SHRM Foundation, P.O. Box 79116, Baltimore, MD 21279-0116 or donate online at www.shrmfoundation.org. The SHRM Foundation is a 501(c)(3) nonprofit organization. Employer ID # 34-6610067. Your gift is tax-deductible to the full extent of current law. A receipt will be mailed to all donors who give $25 or more. *For 2015, CVV and billing address verification are required Thank you for supporting the SHRM Foundation