UC Davis - School of Veterinary Medicine

School of Veterinary Medicine, UC Davis
Gift Contribution Form

Please fill out the form below, print, and mail to the address shown at bottom:

Yes! I want to advance animal health and veterinary education through a gift to the School of Veterinary Medicine, UC Davis.


Date:
Title:	(Select from list or type in)			Title:
First Name:	*	Middle Initial:		Last Name:	*
Address Line 1:	*
Address Line 2:
City:	*	State/Province:	(Select from list or type in)		*
Postal Code:	*	Country:	(Select from list or type in)		*
Home Phone:	*
Work Phone:
E-Mail Address:	*

* Required Fields

I want my gift to support the following program or purpose:

Please enter your desired gift amount in one or more areas.

NOTE: Gifts of $1,000 and more qualify for special individual recognition or membership in a Gift Club.)

Center for Equine Health $ Center for Companion Animal Health $

Wildlife Health Center $ Center for Animals in Society $

Veterinary Student Scholarships $ Veterinary Medical Teaching Hospital $

Graduate Student Fellowships $ Building Campaigns $

SeaDoc Society $ Area of Greatest Need $

If you are interested in a program not listed, please contact the Development Office at (530)-752-7024.

A $25 minimum is required per gift. Please make check payable to "UC Regents"

This is a memorial or tribute gift, so I am including the following information:

Check one:  In memory of OR In tribute to:

Name:

Check one:  Animal OR Person

Please notify the following person(s) of this gift:

Name:

Address:

Please contact me regarding the following:

Larger gifts, multi-year pledges, or naming opportunities
Estate planning, wills and trusts
Gifts of appreciated stock, securities and real estate

The information you provide will be used for university business and will not be released unless required by law. To review your record, contact Advancement Services, 1480 Drew Avenue, Suite 130, Davis, CA 95616. A portion of all gifts is used to defray the costs of administering the funds. All gifts are tax-deductible as prescribed by law.

View UC Davis Privacy Policy Statement

Please print this completed form and mail with a check (made payable to "UC Regents") to:

Office of Development
School of Veterinary Medicine
University of California
One Shields Avenue
Davis CA 95616-8734