By mail
Download the form (pdf). Once you have completed this form, please mail it to:
Kristen Burger
Office of Medical Advancement
Washington University in St. Louis
MSC 1247
7425 Forsyth Blvd.
St. Louis, MO 63105
Personal contact
Please contact Kristen Burger in the Washington University Alumni and Development office at:
314-935-2877 or kburger@wustl.edu