NAPAREF Road Scholars Pledge Form

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Recommended Giving Levels

On behalf of my company/organization, I am authorized to pledge the amount indicated below, over the timeframe indicated below, to the NAPAREF Road Scholars program supporting the National Center for Asphalt Technology (NCAT) at Auburn University.

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* 1. Full Name

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* 2. Title

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* 3. Company/Organization Name

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* 4. Email Address

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* 5. Pledge Amount

$100,000

$75,000

$50,000

$25,000

$10,000

$5,000

Other (please specify)

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* 6. Disbursement Timeframe

One-time Donation

Two Years

Three Years

Four Years

Five Years

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* 7. Please review your pledge and enter today's date as your authorization to make this pledge on behalf of your company/organization.

Date