Liberty League UAA NCAA Copyright

Make an Online Pledge

Use the form below to quickly and conveniently make your online pledge to the Athletic Fund.

PRIVACY INFORMATION: The Information provided on this form will only be used by the University of Rochester Gift Office to process your gift and by the Department of Athletics and Recreation for University of Rochester related activities. The information will not be sold to a third party.

First Name:
Middle Name:
Last Name:
Maiden Name: (if applicable)
Affiliation: (check one)
• Alumnus
• Parent
• Faculty
• Friend
Street Address:
City:
State:
Zip Code:
Phone Number:
E-mail:

I would like to make an online pledge to the Athletics Fund

In the amount of:
$

I expect to pay this pledge in:

I expect to make my first payment on:
(MM/DD/YY)

Additional comments:












Last modified: Saturday, 06-Sep-2003 16:11:08 EDT