Online Giving

Please use the following form to make your online gift. Credit card information is protected during transmission using VeriSign Secure Payment Services.

Required fields are marked with an asterisk *.

Personal Information

*Name:

*First

Middle

*Last

*Address:

*Street 1

Street 2

Street 3

*City

*State

*Zip

Country (if not U.S.)

Email

Telephone

*I am a/an:

Alum Friend Parent U.Va. Faculty Member

Gift Preferences

This is a joint gift. Please also credit:

Spouse Name

Spouse Class and Year

I am eligible for matching funds from my employer and will send the forms for processing (UVA Fund, PO Box 3446, Charlottesville, VA 22903). To find out if your company or your spouse's company matches gifts, contact the company's human resources department or check this online company search.

Company Name

Please credit this gift anonymously.

Gift Allocation

I would like to contribute

$

Payment Options

This is a gift to be paid now by credit card.

This is a pledge to be paid by June 30

Please send pledge reminder by: Select from Below January February March April May June July August September October November December

For more information about giving to the Annual Fund, please contact Katie Whittier, Director of Alumni Development, by email at whittier@virginia.edu or by calling 434-924-3394.