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JHU Gift Designations
	Please Select or Enter Gift Amount $50 $100 $250 $500 Other Please Designate My Gift to Support Gift Amount $ Please Describe	Item weight

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Please select a frequency for this gift

One-time

Recurring

Payment Frequency

Monthly

Quarterly

Annually

Select number of additional recurring payments

Payments in the amount specified above will be automatically charged to your account as scheduled until you notify Johns Hopkins Department of Medicine by phone at 410-550-9891 or email thankyouJHU_DOM@jhmi.edu.

Donor Information

Do you want to make this gift anonymous?

Yes

Salutation

First Name

Middle Initial

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Country

Email Address

Phone Number

Type

Phone Number

Type

Are you a graduate of Johns Hopkins?

Yes

If yes, from which school and year?

Gift Options

Is this a joint gift with your partner / spouse?

Yes

To give this gift jointly with another individual please include the following information

Full name of the individual

Relationship to the individual

Gift Options

Is this a gift in honor or in memory of someone?

Yes

In Honor Of

In Memory Of

Honoree

At your request, we will notify the designated party that a gift has been made in his/her honor.
For memorial gifts, we will notify the family. Please fill in the contact information below if you would like notification to be sent.

Contact Information

Gift Options

Will your company match this gift?

Yes

Click here to search if your employer will match this gift.

If your company will match this gift please include the following information.

Company Name

Gift information has been submitted to my company's matching gift program

Yes

Matching Gift Ratio (if known)

Matching Gift Amount

Please send matching gift form to:
JHU/Development Business Services
Attn: Gift Processing Supervisor
3910 Keswick Road N2100
Baltimore, Maryland 21211

Questions about matching gifts? Please email matchinggifts@jhu.edu

Information Request

If you would like more information about a subject, please check

Wills and Living Trusts

Donating Property

Gifts that Provide Lifetime Income

Gifts of Securities

Comments

Payment Information

What payment method would you like to use?

Credit Card

Checking / Savings

Card Number

Card Number REAL

: Month

: Year

Security Code

Please select your account type

Checking

Savings

Routing Number

Account Number

Confirm Account Number

Payment processing may take up to 3-5 banking days to settle and post to your account. Only U.S. Domicile Accounts are accepted.
NOTE: To allow for settlement and processing time, please make your gift on or before 12/19/2024.

Check if the Billing Address is different from the address entered above

Billing Address Line 1

Billing Address Line 2

City

State

Zip Code

Country

Gift Frequency

Pledge Amount?

Total

Questions or problems? Plese email the online giving administrator.

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