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WDS Legacy Donation Form

Wonder how close you are to moving up to the next level?
Click Here to find out your current donation amount today! You could be one donation away from a newly designed donor pin by our very own Janet Hickman, MD!

Information

Donation Amount

$ .00


If you would like to make this a Recurring Donation* please fill out one of the options below
*(A pledge of a specific amount over the time period of your choice.)

No Thanks, I'd rather do a One-time Donation.

Complete this section for Recurring Monthly Donation:

Complete this section for Recurring Annual Donation:

 

Consent and Authorization

  I consent and authorize my bank/credit card to make recurring payments until I notify the Women’s Dermatologic Society (WDS) otherwise. First charge to occur upon the submission of this form. I understand that I may cancel or change my recurring donation at any time by notifying WDS at (414) 918-9887. A record of each payment will appear on my monthly bank or credit card statement and will serve as my monthly receipt. A letter showing cumulative donations for the calendar year will be sent each February.

This Donation is

Payment Information

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Thank you for your generous donation.