YES Campaign

Thank you for contributing to the YES campaign. You can donate by using this online form or downloading the donation form (pdf).

View a list of designation funds (pdf)

ATTENTION UMA EMPLOYEES:
All UMA employees who contribute their YES Campaign gift to the Hospital Authority Building Fund are eligible for a dollar for dollar match. UMA will match the first $50,000 contributed to this fund. There is no minimum or maximum gift required to utilize the match. You can make a gift to this fund via payroll deduction or an outright gift.

Donate Online

Title Mr. Mrs. Ms. Dr. * First Name * Middle Initial Last Name * Home Address * City * State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming * Zip *

Department Name * Dept. MSC Department # Work Phone # * Email * Last 4 digits of Social Security # *

Gift amount: $*

Please select one of the following methods of giving:

I'd like to make my gift through payroll deduction.

Employer/Pay Period:

MUSC / Biweekly MUSC / Monthly MUHA / Biweekly UMA / Biweekly UMA / Monthly CFC / Biweekly CFC / Monthly

Amount deducted per pay period: $

Please deduct pledge from payroll for one year only. I will renew my pledge during next year's campaign.
Please automatically renew my payroll deduction pledge until otherwise notified by me.

One time pledge to be paid by check or credit card by June 30, 2009.

Please send me a reminder in May June July August September October November December January February March April May June

By credit card

Card Type:	Visa Master Card American Express
Card Number:
Expiration:	(MM/YY)
CVV2:	(on the back of your card)

Gift Designations
Please indicate how you would like to designate your gift. Your gift can be dispersed to more than one fund. Enter the fund name from the fund list.

Undesignated donations go to the YES Family Fund.
Remaining undesignated funds: $

Designation   1: Amount: $
Designation   2: Amount: $
Designation   3: Amount: $
Designation   4: Amount: $
Designation   5: Amount: $

Designation   6: Amount: $
Designation   7: Amount: $
Designation   8: Amount: $
Designation   9: Amount: $
Designation 10: Amount: $

Click for more designation fields



Honor/Memorial Gifts
I would like to make a gift in Select One honor memory of:

Title	Mr. Mrs. Ms. Dr.
First Name
Last Name
Relationship

Send notification of this gift to:

Title	Mr. Mrs. Ms. Dr.
First Name
Last Name
Address
City
State
Zip

UMA Matching Gift Option
All UMA employees who contribute their YES Campaign gift to the Hospital Authority Building Fund are eligible for a dollar for dollar match. UMA will match the first $50,000 contributed to this fund. There is no minimum or maximum gift required to utilize the match. You can make a gift to this fund via payroll deduction or an outright gift.

I am a UMA employee and I designated a portion or all of my gift/pledge to the Hospital Authority Building Fund and wish to utilize the UMA matching option.

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If you have any questions, please contact Emily Ferraro, YES Campaign coordinator, at 792-1973 or by email at ferraroe@musc.edu.

Thank you for your support! The Internal Revenue Service asks that we inform you that no goods or services are received in return for your donation.