Thank you for considering a gift to the UCLA Department of Pathology and Laboratory Medicine at the David Geffen School of Medicine at UCLA. Your support makes a real and substantive difference. Pathology is often called the "unsung hero" of medicine because so much happens behind-the-scenes; however, our work is integral to driving medical and scientific progress forward. There are few giving opportunities that provide benefits to everyone, from the most noble to the most vulnerable, both within the community, and throughout the world.


Required fields are indicated with an asterisk (*).
Your contribution is greatly appreciated!
*I would like to make:
   Other $  
(Contributions of $500 or more are eligible.)


Personal
Title:
 
* First name:  
  Middle name:
* Last name:  
  Suffix:
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
I am interested in learning more about making a gift that enhances retirement income and creates tax savings
I am interested in learning more about creating an endowment
I am interested in learning more about creating a scholarship or fellowship.
This gift is anonymous
 
Comments: