Renaissance at Rensselaer

Secure Online Gift Form

Use your MasterCard or Visa to make a difference at Rensselaer:

Using the form below, enter the dollar amount that you would like to give online. Complete the rest of the form, then click the "Submit Securely" button at the bottom of this page. You will receive an email confirmation of your transaction.

Gift Amount (whole dollars, no dollar sign)

Rensselaer Annual Fund Designated (specify below)

For your protection

Address verification is required. The address and zip code below must match the billing address for your credit card. (To request a receipt mailed to a different address, if you have an international address, or if you have any other problems processing your credit card, please contact us via e-mail at giftsoffice-l@lists.rpi.edu or by calling our Gifts Processing Office at (518) 276-8546.

Your Billing Address Information

First Name (may include middle initial)
Last Name Address City State Zip Code Country * Email Phone

*For international addresses, contact Gift Processing at (518) 276-8546.

Credit Card Payment Information

Gifts may be made by the person named on the credit card only.

Card Number Expiration Month Expiration Year

We require that you enter the "CVV" number from your credit card. The three-digit CVV code is printed on the signature panel on the back of the card immediately after the card's account number.

CVV Code

CVV code is present on my card but illegible

This transaction will be processed in REAL-TIME.

Your transaction will complete in 25 seconds to two minutes, depending on network traffic. In some cases, it may take longer. If your browser supports JavaScript, a timer will count up from zero. Please be patient. Your information is being encrypted for your protection.

Please note that Rensselaer is not always notified of final credit card processing approval on the same date you submit credit card information on this form. As a result, the date on your gift receipt from Rensselaer will generally fall within 2 business days of the date you provide credit card information.

Thank you for making a difference at Rensselaer.

Are you concerned about using your credit card online? Rensselaer Polytechnic Institute uses secure server technology with an authentic digital certificate from Verisign.

About SSL Certificates