APMA Educational Foundation 2017 Annual Giving Campaign A contribution to the foundation is one of the most important investments you can make for the future of our students and the podiatric medical profession. We invite you to make a tax-deductible contribution and your name will be included in APMA News as a 2017 donor. Donations can also be made online at www.apma.org/donate. Ninety percent of your donation will directly benefit the student scholarship fund. Ten percent will be directed toward general operating expenses of the foundation, which include managing the scholarship program and important fundraising activities. o YES, I will donate to the APMA Educational Foundation 2017 Campaign. o $1,000 o $500 o $250 o $100 Would you like this to be a recurring monthly donation? Other o $__________________ o Yes, charge me every month o No Name________________________________________________________ Member Number_________________________ Address ____________________________________________________________________________________________ City___________________________________________________________ State______________ Zip ____________ Phone________________________________________________________ Fax ___________________________________ Email __________________________________________________________________________________________________________________________ Please contribute my donation to: o Student Scholarship Fund o Educational Programs Payment (check one): o Check-Amount enclosed $______________________ Please make checks payable to APMA Educational Foundation. o VISA o MasterCard o American Express o Discover Credit Card Number_______________________________________________________________ Expiration Date _______________ Name on Credit Card _____________________________________________________________________________________________________ Signature ___________________________________________________________________________________________________________ o My gift is in memory or honor of (circle one) ___________________________________________________________________________________ Please provide a name and address if you would like APMA to notify recipient of honor or family member of memorial gift. Fax or mail this form with your contribution to: Sandra F. Arez APMA Educational Foundation 9312 Old Georgetown Road Bethesda, MD 20814 Fax Number: 301-530-2752 * * APMA News May/June 2017 21http://www.apma.org/donate