Drs. Daniel and Kathleen Clarke-Pearson Distinguished Professorship in Obstetrics and Gynecology - Pledge Form

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I promise to give the listed amount below to The Medical Foundation of North Carolina, Inc./UNC Medicine on behalf of Drs. Daniel and Kathleen Clarke-Pearson Distinguished Professorship in Obstetrics and Gynecology (343006).

Method of Payment*

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Please mail your check to The Medical Foundation of North Carolina 123 W. Franklin St, Suite 510 Chapel Hill, NC 27516 and add "Clarke-Pearson Professorship" in the memo line.

Please make your gift online at uncmedicine.org/clarkepearson. Be sure to select "Apply this payment to my existing pledge" at the bottom of the payment page.

UNC Health Care Employees - use this payroll deduction form: https://uncmedicine.org/ways-to-give/ways-to-give/unc-health-care-employee-giving/. Other UNC Employees - use this payroll deduction form: https://secure.dev.unc.edu/authenticate/Default.aspx?redirect=https://secure.dev.unc.edu/UDOApps/Gift_Services/Payroll_Deduction/

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Do you wish to make this gift through a Donor Advised Fund or through a Private Family Foundation?

IRS regulations prohibit a private foundation or a donor advised fund from making a gift toward the personal pledge of an individual. If you have a private foundation or donor advised fund and may make one or more gifts toward this commitment from it, please indicate below. A pledge can be made from a private foundation but the commitment form needs to be signed by an official of the foundation. Gifts from individuals can be made to the pledge of a foundation, but not vice versa.

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Your Promise

Consent*

By checking the box below, I confirm the details of my commitment to The Medical Foundation of North Carolina, Inc. /UNC Medicine and authorize the payment of such commitment as noted above.

I agree to The Medical Foundation of North Carolina Inc./UNC Medicine pledge form policy.

UNC Medicine is the public brand for The Medical Foundation of North Carolina, Inc. The Medical Foundation was chartered as a 501(c)3 in 1949 and does business as UNC Medicine supporting the UNC School of Medicine and UNC Hospitals. Your gift to The Medical Foundation of North Carolina/UNC Medicine supports your specific area of choice within medicine.

Signed,*

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Drs. Daniel and Kathleen Clarke-Pearson Distinguished Professorship in Obstetrics and Gynecology – Pledge Form

Contact Information

Gift Information

Tribute Journal Message

Your Promise