University of Wisconsin–Madison

Support BSE

Make a Gift to BSE

Department of Biological Systems Engineering Funds

I/we would like to join other alumni and friends in support of the Department of Biological Systems Engineering Fund.

Print out the form and send it in to the address below, or go to the UW Foundation to make a donation on their secure site.

  • I/we wish to pledge $__________ over _______ years. Please remind me of my pledge in _____________ (month).
  • I/we contribute $__________. (Contribution is enclosed.) My company will match this gift; company form enclosed.

I/we wish to have my contribution support

Fund Name (The BSE Newsletter has names of various BSE Funds) : ________________________________________________

Name:____________________________________
E-Mail:___________________________________
Address:__________________________________
City: ____________________________________
State: ___________________________________
Zip:_____________________________________

Please charge my gift of $ _________________ to my:

(MasterCard) (Visa) (American Express)

Card number ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Expiration date ______________

Cardholder’s name as it appears on credit card (please print):

Cardholder’s Name: __________________________________________
Cardholder’s Signature:_______________________________________
Date ____________________

Make checks payable to University of Wisconsin Foundation and return this form to:

University of Wisconsin Foundation
US Bank Lockbox
PO Box 78807
Milwaukee, WI 53278-0807

If you have specific questions about giving, please contact Brian Hettiger at the UW Foundation (Phone: 608-265-5893; e-mail: brian.hettiger@uwfoundation.wisc.edu).