Asheville-Buncombe Technical Community College
Asheville-Buncombe Technical Community College
Universal Campaign Pledge Form
*Name: / Click here to enter text. /Address: / Click here to enter text. /
City, State, Zip: / Click here to enter text. /
Home Phone: / Click here to enter text. /
Work Phone: / Click here to enter text. /
Email: / Click here to enter text. /
*Date Click here to enter text. / *Signature
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*Indicates required information. All additional contact info is optional and will remain confidential.
☐Please renew my current pledge information for 2016.
This is an easy way to renew your previous year’s pledge without having to fill out the form again.
Foundation Staff will send confirmation of your final pledge for your records.
Are you a graduate of A-B Tech?
☐Yes ☐No☐Took Classes
For more information on theA-B Tech Alumni Association visit
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☐12 month employee ☐10 month employee ☐9 month employee
Monthly PledgeAmount (via easy payroll deduction):
☐$5 ☐$10 ☐$15 ☐$20 ☐$25 ☐$30 ☐$50
Other Amount: / Click here to enter text. /☐I’d like to pledge Fair Share!*
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Monthly Pledge Designation:
☐General Foundation Fund
-OR-
☐The following Foundation scholarships or special initiatives
(i.e. Lavender Fund, Student Emergency Fund, Staff Mini-Grants, Ferguson Endowment for Faculty Development)
Click here to enter text. /Click here to enter text. /
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Single contributions may be made in place of monthly pledge.
Please make checks payable to the A-B Tech Foundation, or visit make a secure online donation.
Monthly Pledge Amount (via easy payroll deduction):
☐$5 ☐$10 ☐$15 ☐$20 ☐$25 ☐$30 ☐$50
Other Amount: / Click here to enter text. /☐I’d like to pledge Fair Share!*
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Monthly Pledge Designation:
☐United Way’s Community Investment Fund
-OR-
☐I would like to designate my gift to the following organization:
Click here to enter text. /Click here to enter text. /
Note: If you live outside Buncombe County and wish to direct your gift to another United Way agency, please note the county:
Click here to enter text. /______
Single contributions may be made in place of monthly pledge.Please make checks payable to United Way.
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☐I plan to donate $250+ to United Way’s Community Investment Fund,
and would like to be entered into a drawing to win a brand new Kia Soul!
(By checking this box, you agree that you have read the contest
rules, available at
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Monthly Pledge Amount (via easy payroll deduction):
☐$5 ☐$10 ☐$15 ☐$20 ☐$25 ☐$30 ☐$50
Other Amount: / Click here to enter text. /☐I’d like to pledge Fair Share*
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Monthly Pledge Designation:
☐Employee Emergency Program at Eblen Charities
An initiative supporting A-B Tech Staff and Faculty through
an emergency needs fund, managed by Eblen Charities.
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Single contributions may be made in place of monthly pledge. Please make checks payable to Eblen Charities.
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Please return completed formto:
Office of College Advancement
c/oChris McGuire, Development Specialist
340 Victoria Road, Asheville, NC 28801
, (828) 398-7177
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*Fair Share Explanation: For salary under $20,000, Fair Share equals one hour’s pay per month;
For salary over $20,000, Fair Share equals one percent of salary total.