University of Rochester - Make a Gift | Golisano Children's Hospital

Gift Information

Gift Amount: Required Field

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 Field

Designations Choose where you'd like to designate your gift

Selected Designations

Remove	Name	Amount	Percentage
	Golisano Children's Hospital Building Fund	$	%
	Other: select other, click 'continue' and write in the comments box	$	%
Total:	$0.00	0%

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 Field

First Name: Required Field

Last Name: Required Field

Suffix:

Email:

Primary Phone Number:
(format: xxx-xxx-xxxx) Required Field

Phone Type: Required Field

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:

Tribute Gift Type: In memory of
In honor of

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

Company Name:

If applicable, please complete and mail the Matching Gift Form (available to download using the gift look up or contacting your Human Resources department) to the following address:

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

Giving to Golisano Children's Hospital