Dana Meadows Student Award Endowment Fund Contribution Form
 

I enclose my contribution to the Dana Meadows Student Award Endowment Fund of the System Dynamics Society in the amount of:

Amount $1000 $500 $200 $100 $50 $25 Other______________ (if paying online fill in at PayPal.com)

Donor name: (fill in your name as you would like it to appear in the list of contributors, or Anonymous if you prefer your name not to be listed. If you leave this blank we will use your name as it appears below (or as entered when paying online )

or print, fill in below and mail or fax this form to the System Dynamics Society at the address below (you can also open this form in Microsoft Word format if that is easier to fill in).

 

I enclose my check (US$ drawn on a US bank, please)

 

Credit Card: ____Visa ____MasterCard _____ American Express _____Diners

Number:

 

Signature:

 

Expiration:

Month:

Year:

 

 

 

Wire Transfer in US$ (Please contact us for wiring details.)

 

Name:

 

Postal Address:

 

City/State:

 

Country/ Postal Code:

 

Email address:

 

 

 

Check here for this contribution to be anonymous.

The System Dynamics Society is a not-for-profit 501 (c3) corporation and all contributions to the endowment fund are fully tax deductible in the United States.

Please send your contribution information to:    Roberta Spencer

System Dynamics Society

Milne 300 – Rockefeller College, University at Albany
135 Western Avenue

Albany, NY 12222 USA
Email: system.dynamics@albany.edu

 

Note:  The first $30,000 in contributions will be fully matched, doubling the value of your gift.