Medkit (Copy) - New York Medical College

Thank you for supporting the
School of Medicine Medical Kit Fund

Every dollar raised by the NYMC Medical Kit Reunion Fundraising Initiative will help offset the
costs of a medical kit for an incoming First Year Medical Student.
Every dollar you give counts! Please consider making an
automatically recurring gift to make your gift
go even further!

Donation Information

Amount:

Designation:

Other

Additional Information

Please consider making an automatic recurring gift!

Type of gift:

One-time gift

Recurring gift

Corporate:

This donation is on behalf of a company.

Anonymous:

I prefer to make this donation anonymously.

Comments:

Billing Information

Title:

First name:

Last name:

Country:

Address lines:

City:

State:

ZIP:

Phone:

Email:

Confirm Email:

Payment Information

Payment Method:

Credit Card

Pledge

Cardholder's Name:

Credit Card Number:

Card Type:

Valid From:

/	(Maestro/Switch/Solo only)

Card Expiration:

Issue Number:

(Maestro/Switch/Solo only)

Card Security Code:

Note: The Card Security Code is not required for Maestro, Switch and Solo cards.

Matching Gifts

My company will match my gift

Additional Security

This is a security measure to help prevent fraud.

Tribute Information

Type:

First name:

Last name:

Mail a letter on my behalf to

Thank you for supporting the School of Medicine Medical Kit Fund

Thank you for supporting the
School of Medicine Medical Kit Fund