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 University of Rochester for its related activities. The information will not be sold to a third party.
Please complete the following information. Required fields are marked with an asterisk (*).
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If applicable, please complete and mail the Matching Gift Form (available from the human resources department of the company that has the matching gift program) to the following address:
Gift and Donor Records
University of Rochester
PO Box 270032
Rochester, NY 14627
Please enter your phone number in the following format: xxx-xxx-xxxx.
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