Page 1 of 3

  1. Students To National Conference Donation

    Please consider a donation towards this goal for fifty students to attend the AAFP National Conference of Family Medicine Residents and Medical Students. 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. (*)
    valid email address must be provided
  4.  

  1. Contribution Options

    Please select your contribution option below.

  2. Family Medicine Champion: $600

    Covers all expenses for 1 student to attend the conference
  3. Invalid Input

  4. Family Medicine Advocate: $435

    Covers travel expenses for 1 student to attend the conference
  5. Invalid Input

  6. Family Medicine Partner: $165

    Covers registration fees for 1 student to attend the conference
  7. Invalid Input

  8. Friend of Family Medicine

    Dollar amount of your choice Contributions received will be combined to help meet our goal of sending 50 students to the conference
  9. Invalid Input
  10. Invalid Input, Numerical values only
    Numerical Values only, no special characters (Example: Correct- 500, Incorrect- 500.00)
  11.  
  1. Total Contribution Amount
    0.00 USD
  3. Matching to a student is a great way for physicians to connect with students while they are in medical school. Your donation can be matched to select students chosen to attend the National Conference, providing an opportunity for you to write a note of encouragement to them as they pursue a career in family medicine. If you do not wish to be matched, a student will be chosen at random to benefit from your support.
  4. I would like to be matched to a student:
    Invalid Input
  5. Match preference:
    Invalid Input
  6. Other
    Invalid Input

  7. Payment Options

  9. Please follow the follwing 4 characters(*)
    Please follow the follwing 4 characters
    Invalid Input
  10. 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 'Pay with Debit or Credit Card' or to login and pay with your PayPal account if you have one. *A PayPal account is NOT required.
Wisconsin Academy of Family Physicians - Foundation  |  210 Green Bay Road  |  Thiensville, WI 53092
Phone: (262) 512-0606  |  Fax: (262) 242-1862
 
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.