MD Anderson Offline Gift Notification

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

Please note that donations will not be verified on a participant/team or event 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 Giving@MDAnderson.org with questions. Thank you!

Today's Date*

Program*

What event are you participating in?

Select or enter value

Donor Name*

First and Last Name

Donation is in support of*

Fundraiser full name/team (if applicable)

Gift Type*

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

Select

Gift Amount*

Additional Gift Details

Check Number or Grant ID*

Enter 0000 if unknown

Primary Contact*

First and last name of who we can reach out to if we have questions about this gift.

Primary Contact Email*

Primary Contact Phone Number*

Phone

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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