Online Donation Form

Thank you for supporting the University of Manitoba.

Your credit card information will be kept private and is submitted via a secure connection.

Required fields are marked with an asterisk.

Contact Information
Your contact information assists the university in ensuring your alumni records are up to date and allows us to get in touch with you if necessary.
* First Name:

Middle Name:

* Last Name:

Last Name at birth:
(if different from above)

* Address:

* City:

* Country:

*Zip/Postal Code:

* E-Mail Address:

* Telephone:
() -

This gift should also be in the name of my spouse.
*I want to direct my gift to...
$.00

$.00

Other: Enter the name of a specific U of M fund or area you would like to support
$.00


* This gift is a:
New Gift Payment on Pledge

* I am giving as a:
Graduate UofM Parent Faculty/Staff Student Friend

Graduate Information
Last U of M Faculty or School attended:

Last Degree:
(i.e. B.A., M.Sc.)

Graduation Year:

Faculty & Staff
I wish to pay via payroll deduction (Staff only)
Student Information
U of M Faculty or School:
Payment Options:
Visa Master Card American Express Pre-authorized Payment Cheque
Total gift amount:
.00

I am considering a bequest for the University and would like more information
I wish to remain anonymous.
For recognition purposes, I wish to be recognized as .
I want to make this gift in honour of in memory of
Additional Comments:

Thank you for supporting the University of Manitoba.

Your credit card information will be kept private and is submitted via a secure connection.