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.