Membership

Support the Campaign for the New Burke

Thank you for your support! Please complete the form below to make your tax-deductible donation. To submit this form, all "*" fields must be filled in.

Burke Herd Wall Tile Options (for gifts $5,000 and above)

$5,000 wall tile options: raven, triceratops, orca

Burke Herd Wall Tile Options (for gifts $1,000–$4,999)

$1,000 wall tile options: raven, triceratops, orca

Gift Amount

Amount to Donate:
$
 
I would like to add 2.25% to my donation to help offset credit card processing fees.
 
Total*
$
 
I wish to be recognized in donor listings as (e.g. Jane & John Smith):
I would like this gift to be anonymous. Please do not list my name in publications or online.
Limited chance! Join the Burke Herd (for gifts of $1,000 and higher)
Please select your wall tile by ranking the options in order of preference (1st choice, 2nd choice and 3rd choice). Final selection is dependent upon availability.
Raven
Triceratops
Orca
What text would you like to appear on your wall tile? (e.g. Jane & John Smith)
Line 1 (maximum 18 characters including all punctuation):
Line 2 (maximum 14 characters including all punctuation):
I would like this gift to be anonymous and do not want a wall tile silhouette.
Billing Information
First Name*
Last Name*
Address*
City*
State*
Postal Code*
Phone*
Email*
Confirm Email*
Please sign me up for your e-newsletter
Payment Info
Dedication Information (Optional)
Dedication Type
Dedication Honoree Name
Personal note to be included with donation
Would you like to notify anyone of this gift dedication?
Acknowledge by
First Name
Last Name
Address
Email

Questions?
Call 206.221.8530
Email us at burkedev@uw.edu