Rust-College-Pledge-FormDownload You can download the pledge form, print it out, and mail it to: Office of the Vice President Rust College 150 Rust Ave Holly Springs, MS 38635 Or complete the online Pledge Form below. Pledge Form Online Rust College Pledge Form Name First Last Maiden NameSchoolYearI would like to donated/pledgeto Rust College.The Balance will be paid prior to June 30th as indicated:semi-annuallyquarterlymonthlyThrough the gift I wish to become a member of:Founders' Society $2,500+President's Circle $1,000+L. M. McCoy Golden Circle $500+Silver Circle $250+Bearcat Century $100+If you wish to make a payment now, complete this form and then click on the "Donate" link at the top of the webpage.If you want to add your credit card information, we will charge your credit card according to your instructions above: semi-annually, quarterly, or monthly. Yes No Name on Credit CardCredit Card NumberType of CardMaster CardVisaExpiration Date Date Format: MM slash DD slash YYYY Please check all that apply I have included Rust College in my Will and would like to be enrolled in the Heritage Society I would like more information about Wills and other Estate plans I want to help Rust College's recruiting efforts. Please contact me about a prospective student Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Is this a new addressYesNoHome PhoneBusiness PhoneEmail I am employed byMy Spouse is Employed byPlease check all that all that apply I will initiate matching gift procedure I will send a matching gift form Matching gift form will be forwarded at a later time My/spouse's company does not have matching gift program Please make checks payable to Rust College and mail to:Office of the Vice President Rust College 150 Rust Avenue Holly Springs, MS 38635 To donate online, click on the "Donate" link on the top of the webpage after you submit this form If you plan to donate stock, please contact Dr. lshmell H. Edwards at (603) 252 8000 ext. 4014Please use the space below to tell our Alumni Office any news of special interest about family, career, advanced degrees, etc. Your gift really makes a difference!NameThis field is for validation purposes and should be left unchanged.