To make your online gift to Drexel University College of Medicine, complete the following form. Information marked with a blue arrow is required to process your gift. Information marked with a gold arrow is optional. Your gift to Drexel University College of Medicine is tax-deductible in accordance with IRS guidelines. To make a credit card gift by telephone, call (215) 255-7347. Thank you for your support.
 PLEASE ENTER THE TOTAL AMOUNT OF YOUR GIFT.
$50   $2,500  
$100   $5,000  
$250   $10,000  
$500   $25,000  
$1,000   Other $
 
I would like my gift to be designated to: Area of greatest need Other (Note designation in 'additional instructions' box.)
This is a : One-time gift Recurring payment Payment on an existing pledge
This gift is dedicated in honor ofin memory of no dedication
Is this an anonymous gift ? No   Yes, show my name, not amount  
  Yes, don't show my name or amount   Yes, show amount not my name  
Additional Instructions:  
Don't mail me a paper receipt. I will view my receipt on the thank you page.
 
Gifts are recognized in donor reports and records for the fiscal year July 1 - June 30.
 
FOR OFFICE USE ONLY      
         
Code Department