Stick It to Diabetes

A Project by Johns Hopkins Medicine

per charge

Email*

First Name*

Last Name*

Company/Business

Telephone Optional

Country*

Address 1*

Address 2 Optional

City*

State / Province / Region*

Zip / Postal Code*

Please share the person's name below.

Yes

Display my name and donation amount on the Donor Wall.

Do not display my name on the Donor Wall.

Do not display my donation amount on the Donor Wall.

Do not display my name and donation amount on the Donor Wall.

Is there a character limit on the Contact Information fields?

For phone numbers, please limit to 10 characters only.

Is my email a required field?

Valid email addresses are required in order to receive your automated gift acknowledgement receipt.

How will my donation appear on my credit card statement?

A donation will appear on your credit card bill as “JHU School of Medicine”.

Who can I contact if I have a question about my gift?

Please email us at philanthropy@jhmi.edu or call us at (410) 361-6498