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.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