Deposit Money

Please print and bring the completed form, along with your deposit, to the UVA Fund office located in Alumni Hall, or mail it with non-cash deposits to the UVA Fund at PO Box 400314, Charlottesville, VA 22904. For more information about receiving deposits and donations, please see Give to UVA Fund Clients. To notify us of a deposit electronically, please submit a ticket in our helpdesk.

Date

UVA Fund Name(Required)

UVA Fund Account #:

Contact Name:(Required)

First Last

Email for Contact:(Required)

Phone #:

Indicate whether this deposit is Gift or Non-Gift:(Required)

Indicate Type(s) of Deposit below:(Required)

Cash

Check

Gift in Kind

Cash Deposit Amount:

Check Deposit Amount:

Gift In Kind Amount:

Donor's Name

Item Description

Market Value:

Please list any special instructions or comments for the deposit here: