CYCUDF-NA Donation Form

For tax benefits, Chung Yuan Christian University (CYCU) and alumni in North America jointly established Chung Yuan Christian University Development Foundation–North America (CYCUDF-NA). CYCUDF-NA is a nonprofit organization in the United States of America for the support of Chung Yuan Christian University.

Your donation to CYCUDF-NA will be directly transferred to the university and to be used for University Development Fund (中原大學發展基金), or other initiatives of Chung Yuan Christian University.

捐款者資料 (Donor Information)

Name: *

Home Address: *

Gender: * Male Female

Phone Numbers: * (at least one phone number below is required)

Cell-Phone (Mobile):

E-mail: *

CC E-mail (optional, separate multiple emails with commas):

BCC E-mail (optional, separate multiple emails with commas):

Company Name:

Job Title:

Business Address:

If you are a CYCU graduate, please enter your department, degree, and class year:

募款主題 (Donation Purpose) *

Please select at least one fundraising purpose below.

校級主題募款 (University-level Fundraising):

系(所)級主題募款 (Department-level Fundraising):

關懷經濟不利學生勤募基金
數位教育基金
北美發展基金會
Others (其他)

捐款方式 (Ways to Donate - made check payable to CYCUDF-NA) *

Please provide either a one-time donation amount or a pledge amount below.

一次捐款 (One-time Donation):

US$

分期捐款 (Pledge):

一共 US$ for year-month thru

and make payment:
Monthly Quarterly Yearly

My first payment of US$

捐款交付方式 (Donation Delivery Method) *

附支票 (Enclosed a check)
現金 (Cash)
電子轉帳 (Electronic transfer)
電匯 (Wire transfer)

In publications and donor listings, I/we wish my/our name(s) to read as follows:

Donor's Signature *

Use system default signature
Upload signature image
Draw signature online

Contact Information

For any questions, please contact:

Danny C. Fang (方治欽): Phone: 408-786-8375 | Email: df@hornshawn.com
Lucy Chen (陳蕙心): Phone: +886-3-2651503 | Fax: +886-3-2651599 | Email: donation@cycu.edu.tw

Please mail your payment and donation form to: