Harvard Online Giving Form

Thank you for your interest in making a gift to Harvard T.H. Chan School of Public Health. We appreciate your support.

If you encounter difficulties while making your gift online, please contact the Annual Giving office at (617) 432-8428 or email annualgiving@hsph.harvard.edu.

Within the US you may also call toll free 1-800-VERITAS or 1-800-837-4827 to make a gift over the phone. (Please do not email credit card information.)

Your Gift

Gift Amount Options ?

$100

$250

$500

$1000

$2500

Other

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This is a joint gift from both my spouse / partner and me. ?

Spouse/Partner First Name *

Spouse/Partner Last Name *

Spouse/Partner Class Year

Spouse/Partner School

This is a pledge payment ?

Pledge Details *

Giving Frequency ?

One-Time Gift

Recurring Gift

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This is a recurring gift.

Payment Frequency *

Your Contact Information ?

Title

First Name *

Middle Name

Last Name *

Suffix

Class Year

School

Address *

Email *

Daytime Phone Number *

Payment Information

Accepted Credit Cards Visa, MasterCard, American Express, Discover

Credit Card Number *

Expiration Month *

Expiration Year *

CVN Number * ?

My billing address is different from my donor information. ?

First Name *

Last Name *

My and/or my spouse's employer will match my/our gift. ?

Employer *

Note: Please submit the necessary paperwork to your employer.

Your Donation

Please fill out your gift information

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Your Gift

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Payment Information

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