Harvard Online Giving Form

Thank you for your interest in the Harvard School of Dental Medicine. We appreciate your support!

Note: If you encounter difficulties giving online, please contact Alumni & Development Services (ADS) at ads@harvard.edu or 617-495-1750. (Please do not email credit card numbers.)

If you would like information about additional methods for making a contribution to the Harvard School of Dental Medicine, including bequests, gifts of real estate or stock, and more, please visit Ways to Give.

All fields with an asterisk (*) are required to successfully make your donation.

Your Gift

Gift Amount Options ?

$1867

$5000

$2500

$500

$250

Other Amount

1867 is the founding year of the School. A minimum gift of $1,867 entitles you to membership in the Nathan Cooley Keep Society.

Select a Fund *

Other Fund Name *

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 *

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

Employer *

Note: Please submit the necessary paperwork to your employer.

Giving Frequency ?

One-Time Gift

Recurring Gift

This is a one-time gift.

This is a recurring gift.

Payment Frequency *

Your Contact Information ?

Title

First Name *

Middle Name

Last Name *

Suffix

Class Year

School

Country *

Email *

Daytime Phone Number *

Your Donation

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Your Gift

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Your Donation

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