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Physical Medicine and Rehabilitation

Physical Medicine and Rehabilitation - Your Gift Matters - The Division of Physical Medicine and Rehabilitation is grateful for the generosity of all our donors. You may support the general PM&R fund or a specific area such as the residency program, research, programming, equipment, fellowships, or groundbreaking initiatives that we are piloting. If you would like to donate to a specific area, please indicate this in the donation comments. Various ways of giving are included below. Questions? Contact Catherine Raney catherine.raney@utah.edu

Gift Details Gift Type:

Amount: $

Payroll Deduction (set amount)

Deduct: $ from my paycheck until my contribution of
Amount: $ is reached.
Beginning Date:
(month/year)

Payroll Deduction (Ongoing)

Amount: $ to deduct from my paycheck until I request a change or termination in writing.
Beginning Date:

In Honor/Memory

This gift is: in memory of
in honor of

not applicable

Honoree's name:

Notify Someone Of This Gift

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Address 1:
Address 2:
City:
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Special Instructions

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Special Instructions:

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Please note that by giving via payroll deduction you are not entitled to any goods or services that you might otherwise receive if giving through a different method.

Matching gifts

Check here to see if your employer will match your gift!

Other options

Scheduled Pledge Payments

A pledge is an agreement to pay over a period of time with scheduled payments or transfers from a bank account or credit card. Please mail a completed PDF with your credit card number or a voided check.

Pledge Agreement Form (pdf)

By Phone

To make a pledge by phone or give in other ways (planned gifts, securities) call 1-800-716-0377. If you call after hours and leave a message, we will return your call the next business day.

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