Donations | International College of Surgeons, US Section

By making a donation, you will ensure that educational programs and surgical missions of the United States Section are able to continue and grow. Participating in a CME activity or one of our Surgical Team projects are just two ways that you can be an ACTIVE member of the College.

Do your part by providing valuable financial resources above and beyond your annual dues.

Please get active today.

Full Name *

Email Address *

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Select a donation level
from the list below:

Fellow ($100)

Leader ($250)

Director ($500)

Benefactor ($1,000)

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Payment Method

Enter the name on the bank account according to the information shown on your bank statement. The account number and routing number can be copied from the lower left corner of the check.

Account Type

Checking

Savings

Routing Number

Account Number

Account Holder Type

Business

Personal

Business Name

Account Holder Name

By submitting payment, I am authorizing International College of Surgeons, US Section to initiate a single or recurring ACH/electronic debit in the amount indicated from the bank account I designated above. I understand that this Authorization will remain in full force and effect until the transaction is cancelled by me by contacting International College of Surgeons, US Section, or the ACH/electronic debit is processed from the designated account. I certify that (1) I am authorized to debit the bank account above and (2) the ACH/electronic payment I am authorizing complies with all applicable laws.

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Card Number

Expiration

CSC

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Total Amount Due

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