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“We make a living by what we get. We make a life by what we give.”

― Winston S. Churchill​

DONATE

The information you provide is secure and will not be shared. Your gift is 
100% tax-deductible. 

To send your gift:

1. Please print and fill out this form.

2. Mail or fax it with your contribution in check to our Cornerstone site:

La Jolla Infectious Disease Institute
6044 Cornerstone Ct W 
San Diego, CA 92130

Fax: 858 771-2008


To make a donation online, please click here to continue.

Donate: Open Positions

LJIDI

DONATION FORM

Amount of Gift: (U.S. dollars) $50 $100 $250 $500 $1000 other: ________ 

First Name: _____________________ Last Name:_______________________________

Address: ________________________________________________________________

City: ___________________________ State/Province: ________ Postal: _____________ 

Country: ____________
Phone: ______________ 

Email: __________________________

Billing Information (If different from above) 

First Name: _____________________ Last Name:_______________________________

Address: __________________________________ City: _________________________ 

State/Province: ____________ Postal: ____________ Country: ____________________ 

Payment Information 

Your name on card: ____________________________________________ 

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☐ American Express 
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Exp Date: (MM/YYYY) ____________ Card Verification Number: __________________ 

Additional Information 

This is a gift given in memory of the signed:


__________________________ 


[  ] Yes, I have included The La Jolla Infectious Disease Institute in my will or trust as a lasting tribute for a loved one or friend. 

[  ] I would like more information on how to make a lasting tribute gift for a loved one or friend in my will or trust. 

Donate: Overview
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