[ ] Check enclosed for:            $

    Checks should be made payable to "IIT Foundation"

[ ] Credit Card Donation of:       $

   Name on Card: ___________________________________________

   Credit card number: _______________________________________ 
		
   Expiration Date: ______________   Card Type:    Visa      Mastercard

   Signature for authorization: __________________________________
 
  

[ ]  Please keep this donation anonymous.		 
[ ]  My company offers MATCHING FUNDS.  (Please attach or send proper-signed form from company)

Thank you for your support of the IIT Foundation and it's programs.  Your gift is tax-deductible.  
Federal Tax ID # 47-0747227 (For residents of United States)

Please print this form out and mail it to:
     IIT Foundation
     P.O. Box 27824
     Omaha, NE 68127-9821 
     USA