Restricted Gift

MUM Transaction Number
Will this be a One-Time or Monthly (recurring) contribution?*
- One-Time
- Monthly (recurring)
Which date would you like your recurring contribution to be charged?*
Your first donation will be charged today. Please select one of these two dates for the subsequent charges, beginning next month.
- 16th of the month
- 26th of the month
Tax document option
For your convenience, to save expense, and be environmentally friendly, we will be sending a yearly tax acknowledgement letter issued each January with a detailed list of each donation for the previous year. If you would prefer we can send a once a month tax letter please check below.
- Please send me a monthly tax acknowledgement letter rather than a yearly letter for my individual donations.
Your contribution amount?
Name*
First Last
Partner/Spouse Name (if donating with or for a partner)
Company or Foundation (if donating for one of these)
Email*
Phone*
Phone type?*
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Comments
Payment Method*
- Credit Card
- PayPal
Credit Card Billing Address*
Same as your Home Address?

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Phone Number*
Credit Card Information*

American Express
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Privacy Notice: We will use the personal information you provide to process and record your donation and to send you an official acknowledgment. We also will use it to send you news from the University and to occasionally request your further support. For more details of our handling of your personal data and your options, click here.

NOTE: By clicking Submit below I agree to your stated use of my personal data as modified by any restrictions I have noted in the comment field.

Development Office ♦ Maharishi International University ♦ 1000 North 4th Street ♦ Fairfield, IA 52557
giving@miu.edu ♦ 641-472-1180 Monday-Friday, 10:15-4:30 CST

Maharishi International University, a nonprofit, tax-exempt 501(c)(3) corporation since 1988, is designated to receive charitable gifts.