The Daniel Good Geography Scholarship Contribution Form

The Daniel Good Geography Scholarship was established in 1997 by Dr. Daniel Good, a professor of geography at Georgia Southern University who began his distinguished teaching career at the institution in 1969. Dr. Good has taught 25 different undergraduate and graduate geography courses to thousands of students while actively participating in research and service activities.
The Good Scholarship will be awarded on a competitive basis each year to deserving geography majors. In addition to being a geography major, each recipient must have a genuine interest in the discipline of geography.
By supporting this scholarship, you help students earn an education while at the same time paying a fitting honorary tribute to a very deserving man.

Contribution Form
Please print and sent completed form to address below.

The Daniel Good Scholarship

Please accept my gift of $ _____________________________.

Name: ____________________________________________

Address:

__________________________________________________

__________________________________________________

__________________________________________________

SS#: ______________________________________________

Date: ______/______/________

Method of payment:

Cash Check Credit Card* Pledge*
*Please complete appropriate information below.

Credit Card information: VISA Mastercard
Account # _____________________________

Expiration Date _____________________________

Signature _____________________________

Preferred pledge payment schedule:

Please bill me for the total in 30 days
Please bill me quarterly in Dec., Mar., June, Sept.
Please bill me in equal payments for the following months:
__________________________________________________

__________________________________________________
Other
__________________________________________________

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PLEASE MAKE CHECKS PAYABLE TO:
THE GEORGIA SOUTHERN UNIVERSITY FOUNDATION

PLEASE MAIL CHECK AND CONTRIBUION FORM TO:
P.O. Box 8053, Statesboro, GA 30460-8053


Georgia Southern University's fiscal year ends June 30. All gifts are tax deductible as the law allows.

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