Make a Donation to Family Medicine Foundation of Michigan

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Make a Donation

Make a Donation to Family Medicine Foundation of Michigan

Donor Information

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* Address 1

Address 2

* City

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Payment Information

* Amount

Recurring

No, this is a one-time donation Yes, this is a legacy donation and I authorize Family Medicine Foundation of Michigan to charge my credit card this amount:

Fund

General Donation – to be used to help fund such initiatives as medical student externship(s) and student and resident scholarships to attend Michigan Future of Family Medicine Conference, Michigan Family Medicine Conference & Expo, and/or National Conference. Other

* First name

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* Billing address

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* Payment method

Credit CardCheck

Make check payable to Family Medicine Foundation of Michigan and mail to 2164 Commons Parkway, Okemos, MI 48864