Page 1 of 4

  1. WAFP-Foundation Donation Form

    Thank you for considering a donation to the WAFP-Foundation. We appreciate your generosity and support for advancing family medicine in Wisconsin. The WAFP-Foundation is a 501(c)(3) recognized charity and your donation is tax deductible as allowable by the IRS.
  2. Invalid Input
  3. Invalid Input
  4. (*)
    valid email address must be provided
  5. Invalid Input
  6. Invalid Input
  7.  
  1. Donation Type(*)
    Invalid Input
  2. Total Gift/Donation Amount
    Invalid Input
  3. Invalid Input
  4. Is this gift is in honor or memory of someone? Please enter full name below.
    Invalid Input
  5.  

  1. Planned Giving

    I am interested in including the Foundation in my estate planning, such as leaving a donation in my will or making a deferred gift.
  2. Please send me more information
    Invalid Input
  3. Please have a Foundation representative contact me
    Invalid Input
  4.  

  1. Payment Options

  2. Matching Gift

    Many employers will match your gift. This match can double and sometimes triple your support of the Foundation. Check with your human resources office and if a match is available, please send your Employers matching gift form to:
    Wisconsin Academy of Family Physicians - Foundation
    210 Green Bay Road
    Thiensville, WI 53092
  3. Will your employer be matching your gift?
    Invalid Input
  4. Invalid Input
  5. Invalid Input
  6. I am making a full payment now
    Invalid Input
  7. I would like to make monthly installments
    Invalid Input
  8. Total Gift/Donation Amount
    0.00 USD
  10. Please follow the follwing 4 characters(*)
    Please follow the follwing 4 characters
    Invalid Input
  11. Once you select 'Click here to complete your contribution' below, you will be directed to WAFP-Foundation's easy to use PayPal payment portal to complete your donation. This page will give you the option to login and pay with your PayPal account if you have one or 'Pay with Debit or Credit Card.' *A PayPal account is NOT required.
Wisconsin Academy of Family Physicians - Foundation  |  210 Green Bay Road  |  Thiensville, WI 53092
Phone: (262) 512-0606 
 
WAFP-F is a 501(c)3 recognized charity and your donation is tax deductibile as allowable bye the IRS.

© 2014 Wisconsin Academy of Family Physicians Foundation  |  Sitemap

Project 42 Design LLC - Marketing for all medias.