AOCS Foundation Donation Form
NOTE: If you do not want to donate online by credit card, please print this page and fax, or
mail, it back to the address at the bottom of this form.
Business Phone (optional)
Fax Number (optional)
Are you an AOCS member?
AOCS Member Number
I would like to join the Foundation Century Club
I would like to join the Corporate Century Club
One-time amount of $
Pledge amount of $
per year for
Please apply my gift to:
*New!* Influencing Innovation Campaign
Campaign to Update Technology & Communication Products
Annual Fund (unrestricted)
I have included AOCS in my will.
I would like more information on Planned Giving Opportunities
Credit Card Number
Credit Card Security Number
Name as Printed on Card
Signature: (retype name)
To donate by mail, please print this form and, mail or fax this form to:
(make checks payable to: AOCS Foundation)
P.O. Box 17190
Urbana, IL 61803-7190 USA
Donations to the AOCS Foundation are tax-deductible to the extent provided by law.
AOCS Foundation will respectfully keep your donation anonymous if that is your wish.
Thank you for your support!