Indiana University

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You are authorizing the Indiana University Foundation to initiate the payment card charge as indicated on this form. You understand that a record of each donation will be included on your monthly credit card or bank statement and that the IUF will send a receipt showing the total of all recurring gifts for the calendar year following the end of each calendar year.

You may change or cancel this election by notifying the IUF in writing at iufactsv@indiana.edu.

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