A world where all surgeries are done with the least possible physical trauma, discomfort, and loss of productivity

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- Margrét Oddsdóttir, MD Traveling Fellowship Award Application
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80 by 20 Donation

Donation Information
What kind of donation would you like to make?*
- One-time gift
- Annual pledge (5 years)
- Monthly (12 months)
- Apply to Pre-existing Pledge
One Time Gift Amount*
- Diamond Patron: $10,000
- Benefactor: $5,000
- Donor: $3,000
- Friend: $1,000
- Supporter: $500
- Other
Other Gift Amount*
How would you like to direct your donation?*
- General Fund
- Barbara Berci Memorial Fund
Do you want to receive a copy of Dr. George Berci’s autobiography?*
Receive a copy of Dr. George Berci’s autobiography – The Scope of My Life With your minimum $25 donation to the Foundation.
- Yes, please mail me a physical copy.
- Yes, please send me the ebook version.
- No, thank you.
How many books would you like?*
You are entitled to 1 book per $25 donation.
Would you like a signed copy?*
- Yes
- No
What is the recipients' name - You may enter more than one name for multiple copies:*
To what address should the book(s) be mailed?*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
5 Year Pledge*
Your first payment will be charged immediately and subsequent payments charged yearly for the next four years.
- Diamond Patron ($10,000 total/$2,000 per year)
- Benefactor ($5,000 total/$1,000 per year)
- Donor ($3,000 total/$600 per year)
- Friend ($1,000 total/$200 per year)
- Supporter ($500 total/$100 per year)
Apply to existing Pledge*
- Diamond Patron ($10,000 total/$2,000 per year)
- Benefactor ($5,000 total/$1,000 per year)
- Donor ($3,000 total/$600 per year)
- Friend ($1,000 total/$200 per year)
- Supporter ($500 total/$100 per year)
Monthly Donation Amount*
SAGES will charge the amount below monthly for the next 12 months.
Donor Information
Donor Name*
Prefix First Last Suffix
Institution/Organization
Is this donation personal or on behalf of an organization?*
- Personal
- On behalf of an organization
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Notes to the SAGES Foundation
Total to be charged today
$0.00
Credit Card*
American Express
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Comments
This field is for validation purposes and should be left unchanged.

Donation Information

Donor Information