This page requires your browser to have active scripting (JavaScript) enabled.
Please click
here
for instructions.
Sign In
Randy Ostin Memorial Fund
The Ostins have been members of our UCLA family for many, many years. As a result, I too am deeply saddened by Randy's death and wish to extend my sincere sympathy to all of his family and friends. As a liver transplant surgeon, I am inspired daily by my patients and Randy was certainly no exception.
Your vision and generosity in establishing a memorial fund in Randy's memory moves me tremendously and I cannot thank you enough. I have dedicated my life's work to saving lives through transplantation and my number one priority is to build a Transplant Institute here at UCLA to house what has become one of the most comprehensive, premier transplant centers in the nation. The Randy Ostin Memorial Fund will serve as a lasting tribute to his life and legacy by providing much needed support for our work in securing a future for thousands of patients like Randy in the years to come.
Ronald W. Busuttil, MD, PhD,
Distinguised Professor & Executive Chairman
The William P. Longmire, Jr. Chair in Surgery
David Geffen School of Medicine at UCLA, Department of Surgery
Chief, Division of Liver and Pancreas Transplantation
Director, The Dumont-UCLA Transplant and Liver Cancer Centers
Director, The Pfleger Liver Institute
Required fields are indicated with an asterisk (
*
).
Gift Information
*I would like to make:
a new gift of
Other
$10000
$5000
$1000
$500
$250
$100
*
Other
$
*
Make this an on-going gift
a new pledge to pay in installments over time
(Contributions of $100 or more are eligible.)
Donor Information
Personal
Title:
Mr.
Mrs.
Ms.
Miss
Dr.
Hon.
*
*
First name:
*
Middle name:
*
Last name:
*
Suffix:
I am making this gift as a proxy for my organization/company, which should be recognized as the legal donor
Company/Organization name:
*
UCLA graduation year(s)
:
*
Spouse/Partner
Name:
Joint Gift
*
This is a joint gift with
my spouse/partner
:
Yes
No
*
Contact Information
*
Street:
*
U.S. Addresses
*
City, State, Zip:
*
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
*
*
Non-U.S. Addresses
Non-U.S. City/County
or Province/Postal Code:
*
Country:
AFGHANISTAN
ALBANIA
ALGERIA
ANDORRA
ANGOLA
ANTIGUA & BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
AZORES ISLANDS
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA-HERZEGOVINA
BOTSWANA
BRAZIL
BRITISH VIRGIN ISLANDS
BRITISH WEST INDIES
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CANARY ISLANDS SPAIN
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHANNEL ISLANDS
CHILE
COCOS ISLANDS AUSTRALIA
COLOMBIA
COMOROS
CONGO-BRAZZAVILLE
CONGO-KINSHASA
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KASHMIR
KAZAKHSTAN
KENYA
KIRIBATI
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LEBANON
LEEWARD ISLANDS
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARTINIQUE
MAURITANIA
MAURITIUS
MEXICO
MIDWAY ISLANDS
MOLDOVA
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLAND ANTILLES
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORTH KOREA
NORWAY
OKAYAMA
OKINAWA JAPAN
OMAN
PACIFIC ISLANDS
PAKISTAN
PALAU
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PEOPLE'S REPUBLIC OF CHINA
PERU
PHILIPPINES
PITCAIRN ISLANDS
POLAND
PORTUGAL
QATAR
REUNION
ROMANIA
RUSSIA
RWANDA
SAN MARINO
SAO TOME & PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SIKKIM
SINGAPORE
SLOVAK REPUBLIC
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH KOREA
SOUTH SUDAN
SPAIN
SRI LANKA
ST. HELENA
ST. KITTS & NEVIS
ST. LUCIA
ST. PIERRE & MIQUELON
ST. VINCENT
SUDAN
SURINAM
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAHITI
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TOGO
TONGA
TRINIDAD & TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS & CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
WALLIS & FUTUNA ISLANDS
WESTERN SAHARA
WESTERN SAMOA
WINDWARD ISLES
YEMEN
YUGOSLAVIA
ZAIRE
ZAMBIA
ZIMBABWE
*
*
This address is my:
Home
Business
*
*
Home telephone:
Invalid phone number
*
Business telephone:
Invalid phone number
*
E-mail address
:
*
Invalid e-mail address
*
This e-mail is my:
Home
Business
*
Gift Options
Matching Gift
Click here
to find out if your company will match your gift.
My/my spouse's employer will match my gift.
No
Yes, the matching form will be mailed
Company name for matching gifts:
This company is:
My employer
My spouse's employer
Tribute Gift
Please check this box if you would like to honor a family member, faculty member, business associate, community leader, or other with your contribution.
Payment
Payment method:
Credit Card
PayPal
Additional Information
I am interested in learning more about creating a scholarship or fellowship.
This gift is anonymous.
Comments:
If you have any questions about this donation, please
contact:
Gretchen McGarry
(310) 794-4746
GMcgarry@mednet.ucla.edu
Find out about the
security features
of this web page that protect your account information.
Click
here
to view privacy policy and disclosure statements to prospective donors.
62839C/OL913
© 2002-2024 UC Regents