URMC Giving Website Form
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Make a Gift

Giving to the University of Rochester Medical Center

Use the form below to conveniently and securely make your online donation.

Learn more about giving to URMC.


Gift Information
Gift Amount:
$ required
Your gift is a one-time payment. If you prefer, you have the option to break this out into scheduled payments. Check the box below to setup your scheduled payments.

I would like to make Scheduled Payments
Designations required
Comments (4,000 character limit):
If you selected other for your gift designation, please include the area you wish to support here.
Personal Information
Title: (Mr., Ms., etc.)
required
First Name:
required
Last Name:
required
Suffix:
Primary Phone Number:
(format: xxx-xxx-xxxx)
required
Phone Type:
required
Twitter Handle @:
Instagram Handle:
Joint Gift Information
Spouse/Partner First Name:
Spouse/Partner Last Name:
Joint Gift Spouse/Partner Class Year:
In Honor/Memory of...
Please list the person you are honoring or remembering:
Tribute Gift Type:

If you would like to notify the family or a loved one of your gift (without specifying the amount), Please provide the name and complete mailing address. (255 character limit):
Company Matching Gift Program

If applicable, please complete and mail the Matching Gift Form (available from the human resources department of the company that has the matching gift program) to the following address:

University of Rochester
Gift & Donor Records
PO Box 270032
Rochester, NY 14627