* required information
Your Gift
Select Gift Frequency
I would like to make a one-time gift for the following amount:
:* $
I would like to make a recurring gift.
Gift Amount* # of Payments Payment Frequency Total Gift Amount
$ X = $
NOTE: This transaction will count as the first payment toward your total gift amount.
Donor Designations
Select a designation for your contribution*
 
Contact Information
I am a(n):
Student ID:
First Name:*
Middle Name:
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
County:
Province:
ZIP/Postal Code:*
Country:*
Phone:
Primary Email:*
Gift Note:
Shipping First Name:
Shipping Last Name:
Shipping Address Line 1:
Shipping Address Line 2:
Shipping City:
Shipping State:
Shipping Zip/Postal Code:
Shipping Province:
Shipping Country:
Source Code:
Payment Information
:*
:*
:*   Explain
Credit Card Type:*
                  
Credit Card Expiration:*
Billing Information
If the billing information is the same as the contact information check this box.
If not please fill out the information below:
:*
:
:*
State:
:
:*
Country:*
Matching Gift Information
Will this donation be potentially matched?
If you know the following information regarding the matching gift, please complete.
Company Name:
Matching Gift Amount:$
Additional Information
Pledge Agreement:
Opt-out of gift: Yes
Size:
Type of tribute: in honor of
in memory of
Tribute name:
BYP Designation:
This is a pledge payment: Yes
This is a joint gift: Yes
I/we wish to remain anonymous: Yes
Special Instructions:
Guest Degree/Class Year:
By clicking Submit,
your credit card will be processed