The Maya Rae Anopolsky Memorial Fund

I want to support the Maya Rae Anopolsky Memorial Fund:

$

Total

$ 0

Gift details

Make this a recurring (annual or monthly) gift

Setting up an automated donation allows you to continue to support WashU without even needing to think about it! Plus, a recurring gift means you will receive far fewer emails/communications from the university throughout the year.

Special Instructions/Comments

This gift is a payment on an existing pledge.

I am giving jointly with my spouse or partner.

Spouse or Partner's Name

This gift is a tribute in honor or memory of someone.

Would you like to share a memory with the family?

In Honor of
In Memory of

Name

Please notify the following person of my gift:

Title

(Mr., Mrs., Ms., Dr., etc.)

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip/Postal Code

Country

Email Address

My Relationship to Honoree

I/We prefer no honor roll listing.

This gift is eligible to be matched.

Find out if your employer matches gifts.

Employer

Spouse or Partner's Employer

Please send matching gift forms to: matchinggifts@wustl.edu or Washington University in St. Louis, One Brookings Drive, Campus Box 1082, St. Louis, MO 63130. Questions? Contact us at matchinggifts@wustl.edu or 314-935-3832.

Personal information

*First Name

*Last Name

*Address Type

*Address Line1

Address Line2

*City

*State / Province

*Zip / Postal Code

*Country / Area

Phone Number

Phone Number Type

*Email Address

Affiliations

Please include me in the Honor Roll.

Include my name and gift amount
Only show my name, hide my gift amount
Only show my gift amount, hide my name

Do you consent to sharing your contact information with the Anopolsky Family?

Yes, I consent.
No, I do not consent.

If "yes" above, we please ask that you share a fond memory of Maya or message for the family to read:

Alumnus or Alumna

Degree(s)

School/College, Degree, Graduation Year

Parent

Student's Name

Student's Anticipated Degree/Year

Student

Anticipated Degree/Year

Former Resident/House Staff

Faculty or Staff Member

Friend

Yes

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