Complete the form below and send it electronically, or print and mail to the UI Foundation. The form will allow you to designate the amount of your gift or pledge to the Campaign for the Endowed Chair in Rural Medicine, size of pledge payments, length of pledge period, and other details. We can take your gift information over the phone and, if you desire, charge your gift or first pledge payment to your credit card. When you've made your gift or first pledge payment, the UI Foundation will acknowledge your contribution and send you a receipt for your tax records.
Additional recognition is provided for higher gift amounts.
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