University of Wisconsin Department of Ophthalmology and Visual Sciences

University of Wisconsin Foundation
US Bank Lockbox
PO Box 78807
Milwaukee WI 53278-0807

To make a gift, please make your check payable to the University of Wisconsin Foundation and mail it with this completed form to the UW Foundation. If you wish to use a credit card, fill out the information below, sign and mail to the address above.

I/we wish to support ongoing programs for educational excellence at the University of Wisconsin-Madison with my/our contribution of

A matching gift program can double or even triple your gift to the UW-Madison. If you wish to have your gift matched by your employer, please fill in the name of your company below. If your program includes a printed form, please complete that form and include it with your gift and this form. For further information about your company's matching gift program, please contact your human resources office.

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We thank you for your continued support and encourage you to call on us whenever you have a question or need information about making a gift.