Yes! We want to help establish the
Carmen R. "Carm" Parkhurst Poultry Science Teaching Program Endowment!

Printable Gift Intention Form for Corporations, Associations, Businesses and Organizations

Our Total Gift Amount Will Be: $___________.

__A check for the total amount of $_______ is enclosed.

__A check for $________ as our first payment is enclosed. A balance of $________ remains on our pledge and will be paid in equal annual installments over the next ___ (1-5) years.

__We are interested in learning more about establishing named endowments. Please call the contact name below.

(Print) Name/Title_________________________________________________/________________________________

Company/Organization Name_________________________________________________________________________

Phone___________________         FAX____________________         Email__________________________________


Address ________________________________________________________________________________________



Please make checks payable to The North Carolina Agricultural Foundation
(you will receive an official receipt for your contribution,
and pledge reminders if you have chosen that option).

Send to: NC Agricultural Foundation, NCSU Box 7645, Raleigh, NC 27695.

Or, you may fax your forms to 919-515-5274.

If you have any questions or require additional information, please call Gerald Havenstein at 919-515-5555 ( or Chris Cammarene-Wessel at 919-515-7678 (