Donations & General Support Only credit card payments are accepted online. Personal and business checks should be forwarded and payable to: Georgia State Medical Association 720 Westview Drive, SW Atlanta, Georgia 30310 DONATION SUPPORTPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Preferred e-mail addressPhone *Company or OrganizationPlease enter your affiliation Dropdown *Educational SupportGeneral SponsorshipGSMA FoundationConvention RegistrationScholarship DonationPlease select if the donation is for a specific GSMA programDonation Amount *Comment or MessageSubmit
