Notice of Receipt of Gift Monies (NRGM)
All fields in yellow must be completed.
WSUPID#
 Donor Name
Check Date / / Date Received / /  Apply to Pledge #
  Amount Index Name
Gift
Gift
Non-gift/Revenue/FMV
 
 
Total Check Note: If Gift is $1000 or more the Acknowledgement info MUST be completed
Campaign Code -Description of Codes Solicitation Code -Description of Codes
Soft/Hard Credit WSUPID# Name
Matching Gift Form
 In Memory of
In Honor of

Name

 Copy IMO/IHO:

Special Instructions:

Prepared By (Name)

Gift Received By Phone - -
Credit Card Information:
Card Type:

Master Card
Visa

Card Number - - -
Expiration Date /

Update/New Record Type Preferred Address
Address:
City:
State: ZIP Code: Phone:
Acknowledgement Information of Dec'd or Honoree Use Banner Address
Name:
Title:
Address:
City: State: ZIP Code: