Donations

Donations

TRI Donation Form

Please print/complete this form and return with your donation: Touch Research Institute Dept. of Pediatrics (D820) University of Miami School of Medicine P.O. Box 016820 Miami, FL 33101

Please indicate “Gift to the Touch Research Institute” in the memo field of your check.

Name:__________________________________________

Institution :__________________________________________

Street :__________________________________________

City :__________________________________________

State :__________________________________________

Zip Code :__________________________________________

Country :__________________________________________

Phone :__________________________________________

Fax _

*Check (or money order) Total ___________ *

Thank you for your interest and support of the Touch Research Institute