NW Osteopathic Medical Foundation · Lifetime Foundation Membership with Payments

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Lifetime Foundation Membership with Payments

THANK YOU!!! This contribution will be used to support the general endowment fund of the Foundation.

Several payment options are available for Lifetime Memberships.

$1,000 - Lifetime Membership

$250 - Lifetime Membership in 4 payments

$100 - Lifetime Membership in 10 payments

$50 - Lifetime Membership in 20 payments

Donation Schedule

Contact Information

Name

Prefix

First Name

Last Name

Suffix

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

A Note About Credit Cards and PayPal

When you click the "Enter Payment Information" button below, it will take you to a screen with a "PayPal Checkout Button". Please use this link for all credit/debit card donations.

At that point, you will be given the option of using your PayPal account OR paying by credit/debit card.

We apologize for any confusion, but this is an integrated system and out of our ability to customize.

Add 3% to my total amount to help cover the payment processing fees