60th Campaign Donation Donation Pledge for 6oth Campaign Donation Name of Donor (required) Address (required) City (required) State or Province (required) Zipcode (required) Country (required) Email (required) Telephone (required) Fax Yes, I hereby pledge to make a contribution to support AIT! (please (√) tick the specific area you want to support) Innovative and Interdisciplinary Building Innovative Building (Single donor naming recognition) - 60,000,000 Baht Fitting-out / Equipment (Multiple donor naming recognition) - 60,000,000 Baht Pursuing Academic Excellence Entrepreneurship Center (Single donor naming recognition for 10 years) - 40,000,000 Baht Research Center (Single donor naming recognition for 5 years) - 10,000,000 Baht Endowed Chair Professorships in specific areas of study (Single donor naming recognition/lifetime) - 10,000,000 Baht Endowed Visiting Chair Professorships in specific areas of study (Single donor naming recognition/lifetime) - 5,000,000 Baht Scholarships (Multiple donor naming recognition) Doctoral (full) - 2,000,000 Baht Master's (full) - 1,200,000 Baht Doctoral (tuition & registration fee) - 1,484,000 Baht Master's (tuition & registration fee) - 848,000 Baht Student Exchange - 200,000 Baht Kid's tuition fee at AIT International School (per child of the Master's & PhD students) - 50,000 Baht Updating of Laboratory Equipment and Campus Facilities (Multiple donor naming recognition) Laboratory Equipment - 60,000,000 Baht Gymnasium - 20,000,000 Baht Smart Classrooms - 2,000,000 Baht Student Dormitories Standard Dorms per rooms (air-conditioned, water heater, separate toilet, furniture) - 200,000 Baht Student Village (Single donor naming per building) - 500,000 Baht Cafeteria (Single donor naming recognition) - 20,000,000 Baht Seats Robert B. Banks auditorium per chair - 5,000 Baht Library per study chair - 5,000 Baht Milton Bender auditorium per chair - 3,000 Baht Amount of Donation THB (Baht) Please specify the purpose (required) I would like to pay by ChequeCredit CardBank Transfer Donation by Bank Transfer Bank Name: Siam Commercial Bank Public Company Limited Account Name: Asian Institute of Technology Current A/C No.: 468-046301-2 (Thai Baht and USD) Branch: Thammasart University Hospital Branch Address: 95 Moo 8, Klongnueng, Klong Luang, Pathumthani 12120, Thailand Swift Code: SICOTHBK Upload Pay-in slip (png, jpeg or jpg) (Please send the scanned copy of the pay-in slip to firstname.lastname@example.org) Cheque payable to ASIAN INSTITUTE OF TECHNOLOGY Upload Pay-in slip (png, jpeg or jpg) (Please send the scanned copy of the pay-in slip to email@example.com) Type of Credit Card VISAMASTER Receipt to be issued to (required) Address Donor's name (required) For donors in Thailand, the donors can claim the donated amount as tax expense, as AIT is registered as No. 86 Non-profit organization with the Ministry of Finance.