Thank you for your contribution to the UCLA Library! Your gift will support the greatest needs of the UCLA Library, which allows us to continue being a driver of innovative research and ground-breaking discoveries on campus and beyond.



Required fields are indicated with an asterisk (*).
*Please direct my gift to the following fund:
   


NOTE: gifts of $80 or more qualify for library card privileges (Associates are eligible for 1 card per household). If you take advantage of the library card benefit, $45 of your contribution is not tax deductible.
*I would like to make a new gift of    Other $  


  Some donations may qualify for benefits that are not tax deductible.  


Personal
Title:
 
* First name:  
  Middle name:
* Last name:  
  Suffix:
  Birth date (mm/dd/yyyy):
UCLA graduation year(s):  

Spouse/Partner
  Name:  
  UCLA graduation year(s):

Joint Gift
* This is a joint gift with my spouse/partner:
 

Contact Information
* Street:  
 
U.S. Addresses  
*   City, State, Zip:
 
 
 
Non-U.S. Addresses  
  Non-U.S. City/County
  or Province/Postal Code:
 
  Country:
 
* This address is my:  
* Home telephone:    
Business telephone:  

* E-mail address:  
* This e-mail is my:  

Matching Gift

  My/my spouse's employer will match my gift.
  Company name for matching gifts:
  This company is:
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 method:
I am the parent of a current UCLA student
  Student name:
  Anticipated graduation year:
I am interested in learning more about how I can include UCLA in my estate plan
This gift is anonymous
 
Comments: