Obliteride Offline Gift Notification

Obliteride Offline Gift Notification

If you or someone you know made an offline gift to your Obliteride, please fill out (or have the donor fill out) this form to let us know it’s coming.

Please note that donations will not appear on a participant or team page until we have received and processed the funds, and if the necessary information was included with the gift (or if we are able to use this form to confirm the intention of a donation).

Please reach out to obliteride@fredhutch.org with questions. Thank you!

Donor Name*

First and Last Name

Participant or Team Name the donation is for*

If this is a general Obliteride donation (not going to a participant or team) please write "N/A."

If the participant name is the same as the donor name, please list that name again here.

Date of Donation*

Donation Amount*

Type of Donation

If selecting "Other" please provide additional details in the "Donation Source" field below.

Select or enter value

Donation Source

Please provide the name of the financial institution issuing the Donor Advised Fund, stock, or mutual fund; or any other details that will help us identify the donation.

Primary Contact*

Please list the first and last name of who we can reach out to if we have questions about this gift.

Primary Contact Email*

Primary Contact Phone*

Additional Donation Details

Please let us know if there's anything else we should be aware of!

Attachments

Please use attachments to upload any additional information.

(Example: If you are submitting a matching gift, please provide the confirmation email or notification you received.)

Drag and drop files here or

Send me a copy of my responses

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