MDS CE Transcript & Radiology Certificate Request Form
 
Voluntary Contribution Secure Credit Card Form

Please select the amount you wish to contribute below or add an optional other contribution amount. Then click the Make Contribution button to continue.

$145 Sustaining Member

$250 Beacon Hill Club

$500 Governor's Club

Other Contribution Amount :


Voluntary Contribution Form Legal Disclaimer

Contributions to MDS-PAC are voluntary and any person has the right to refuse to contribute without reprisal. The contribution guidelines are merely suggestions and a person may contribute more, less or not at all without concern of favor or disadvantage by the MDS. Contributions are not deductible as charitable contributions for state or federal tax purposes. Corporate contributions are forbidden by law. Individuals can only contribute a maximum of $500 per calendar year. State law requires MDS-PAC to request the name, home address, occupation, and employer for each person whose contributions equal or exceed $200 in a calendar year.

Questions or concerns? Please contact Ryan Ingram,, Manager, Government Affairs.

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