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On Line Gift Form

Donor Information

Name (Required)

Address (Required)

City (Required)

State (Required)

Zip Code (Required)

Your E-Mail Address (Required)

Contact Phone Number

Relation to UofL (Required)

Select All that Apply

Alum

Current Student

Faculty/Staff

Friend

Parent

Other

UofL Donor Information

School or College Attended

Major

Year of Graduation

If Your Spouse or Partner is a UofL Alum Please Provide Their Name

Student Involvement at UofL

Select All That Apply

Greek Life

Intramural Staff

Housing Staff

Residence Student Association

Student Activities Board

Student Government Association

Service Learning/Leadership

Student Orientation Staff

Additional Student Involvment Activities

Please Specify Other Student Activities/Organizations You Were Involved With at UofL

Matching Gifts

Many employers sponsor matching gift programs that can double or even triple your contribution. Click on the link below to see if your employer is a matching gift company

To Check on Matching Funds

Card Information

Card Type (Required)

Visa
MasterCard

Card Number (Required)

Card Expiration Date - MM/YYYY (Required)

Name as it Appears on the Card (Required)

Billing Address (Required)

City (Required)

State (Required)

Zip Code (Required)

Comments

PLEASE NOTE

Once you submit your form you will see a Thank You note that contains the information you submitted. This is your indication that the form was submitted. Please save a copy for your records. You will receive an official university acknowledgment and receipt via the US mail at the address you provided.

On Line Gift Form

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