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MUM Transaction Number

Your Information

Name*

First Last

Partner/Spouse Name (if donating with or for a partner)

Company or Foundation (if donating for one of these)

Email*

Phone*

Phone type?*

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Gift

Your contribution amount

Make a restricted gift to which MIU project

Method of Payment

Credit Card

Paypal

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Will this be a One-Time or Monthly (recurring) contribution?*

One-Time

Monthly (recurring)

If donating by credit card, which date would you like your recurring contribution to be charged?*

Your first donation will be charged today. Please select one of these two dates for the subsequent charges, beginning next month.

16th of the month

26th of the month

Tax document option

For your convenience, to save expense, and be environmentally friendly, we will be sending a yearly tax acknowledgement letter issued each January with a detailed list of each donation for the previous year. If you would prefer we can send a once a month tax letter please check below.

Please send me a monthly tax acknowledgement letter rather than a yearly letter for my individual donations.

Credit Card Billing Address*

Same as your Home Address?

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Phone Number*

Privacy Notice: We will use the personal information you provide to process and record your donation and to send you an official acknowledgment. We also will use it to send you news from the University and to occasionally request your further support. For more details of our handling of your personal data, see click here.

NOTE: By clicking Submit below I agree to your stated use of my personal data as modified by any restrictions I have noted in the comment field.

Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Name

This field is for validation purposes and should be left unchanged.

RESTRICTED GIFT

Your Information

Your Gift