Donation-support – GSMA Next Millennium Site

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 SUPPORT

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Preferred e-mail address

Phone *

Company or Organization

Please enter your affiliation

Dropdown *

Please select if the donation is for a specific GSMA program

Donation Amount *

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