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You are authorizing the Indiana University Foundation to initiate the payment card charge as indicated on this form. You understand that a record of each donation will be included on your monthly credit card or bank statement and that the IUF will send a receipt showing the total of all recurring gifts for the calendar year following the end of each calendar year.

You may change or cancel this election by notifying the IUF in writing at iufactsv@indiana.edu.

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If you have questions related to your gift, please call 800-558-8311 or email iuf@indiana.edu.

Please note you may be contacted to confirm or clarify your designation.

Because you’ve been so generous in establishing a recurring gift, you have authorized the Indiana University Foundation to initiate the payment card charge as indicated on this form. A record of each donation will be included on your monthly credit card or bank statement and the IUF will send a receipt showing the total of all recurring gifts for the calendar year following the end of each calendar year. You may change or cancel this election by notifying the IUF in writing at iufactsv@indiana.edu.

Gifts will be administered by the Indiana University Foundation, which represents Indiana University, including the IU School of Medicine. This is not a gift to Indiana University Health, and the Indiana University Health Foundation will not play a role in administering these accounts.

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