Active Ca 2+ uptake and the associated (Ca 2+ + Mg 2+)-ATPase activity were studied under the same conditions in an inside-out vesicle preparation of human red blood cells made essentially by the procedure of Quist and Roufogalis (Journal of Supramolecular Structure 6, 375–381, 1977). Some preparations were treated with 1 mM EDTA at 30° to further deplete them of endogenous levels of calmodulin. As the Ca 2+ taken up by the EDTA-treated inside-out vesicles, as well as the non-EDTA treated vesicles, was maintained after addition of 4.1 mM EGTA, the vesicles were shown to be impermeable to the passive leak of Ca 2+ over the time course of the experiments. In the absence of added calmodulin, both active Ca 2+ uptake and (Ca 2+ + Mg 2+)-ATPase were sensitive to free Ca 2+ over a four log unit concentration range (0.7 μM to 300 μM Ca 2+) at 6.4 mM MgCl 2. Below 24 μM Ca 2+ the stoichiometry of calcium transported per phosphate liberated was close to 2:1, both in EDTA and non-EDTA treated vesicles. Above 50 μM Ca 2+ the stoichiometry approached 1:1. When MgCl 2 was reduced from 6.4 mM to 1.0 mM, the stoichiometry remained close to 2:1 over the whole range of Ca 2+ concentrations examined. In contrast to the results at 6.4 mM MgCl 2, the Ca 2+ pump was maximally activated at about 2 μM free Ca 2+ and significantly inhibited above this concentration at 1 mM MgCl 2. Calmodulin (0.5–2.0 μg/ml) had little effect on the stoichiometry in any of the conditions examined. The possible significance of a variable stoichiometry of the Ca 2+ pump in the red blood cell is discussed.