Online Giving Form

Support the initiatives of the University of Virginia through an online gift or pledge to the U.Va. Fund. To participate in our Monthly Installment Program, please use our Installment Program Form. Credit card information is secured by VeriSign digital encryption. 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:

Gift Preferences
This is a joint gift. Please also credit:		Spouse Name	Spouse Class/Year
This gift will be matched by:		Company Name
Please credit this gift anonymously.

Gift Allocation
$ Alumni Association		$ U.Va. General Needs
$ School of Architecture Fdn.		$ President's Fund for Excell.
$ College Foundation (A&S)		$ Historic Buildings & Gardens
$ Curry Sch. of Education Fdn.		$ Parents Annual Fund
$ Darden School Foundation		$ U.Va. Art Museum
$ Virginia Engineering Fdn.		$ University Library
$ Law School Foundation		$ University Medical Center
$ McIntire Commerce Fdn.		$ Virginia Athletics Foundation
$ Medical School Foundation		$ Women's Center
$ School of Nursing		$ U.Va. College at Wise Fdn.
$ Student Affairs/Student Life		$ Jefferson Trust
$ Other:

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 reminder by

University of Virginia Alumni Association