Thank you in advance for your support of the Student Residence.

Please call us if you have any questions or would like further information at (617) 638-4570 or email busmdev@bu.edu.

*Note: Please use your “TAB” key or your mouse to move through the fields.

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Name:

Affiliation with Boston University School of Medicine:


 

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This address is my:

Home Office


Giving Options
Gifts may be paid in full or can be processed in installments, automatically charged to your credit card (Visa, MasterCard or Discover). Please indicate the amount of your gift and the number of payments you wish to make along with your credit card information. 

My Contribution of $ will be paid by Visa, MasterCard or Discover

Account No.
Expiration date:

For year end gifts, please make sure we receive your charge request by December, 20th.


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This gift is made in:

honor of

memory of

Please notify:

Name:
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What prompted you to make your gift? :

*If you chose "Other" please list your answer here:

Please send me additional information about:

A bequest to Boston Unviersity School of Medicine.
Other planned giving options at the School.
Naming opportunites at the School.
The Chester S. Keefer, M.D. Society.


Contact us with questions or concerns at:
72 E. Concord Street, L-219
Boston, MA 02118
(617) 638-4570
busmdev@bu.edu

 

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