Consider a tribute donation
to the DCMS Foundation
A tribute donation is a wonderful way to honor or memorialize a special person or event,
such as a holiday, birthday or wedding. A letter acknowledging your donation will be sent
to the person(s) you designate, and a copy of the letter
will be sent to you for tax purposes.
LEVELS OF GIVING
Bronze Silver Gold
up to $99 $100 – $249 $250 – $499
Platinum Diamond
$1,000 and above
December 2018 Dallas Medical Journal 5
$500 – $999
3 EASY WAYS TO DONATE
Donating to the DCMS Foundation is simple!
1. Donate online at www.active.com/donate/18campaign, OR
2. The DCMS 2019 dues statement includes an option to donate to the DCMS Foundation. Gifts are
deductible for federal income tax purposes to the extent allowed by law. To qualify for a 2018 tax
deduction, your gift must be postmarked or your credit card number transferred by Dec. 31, OR
3. Mail the form below to DCMS Foundation, PO Box 4680, Dallas 75208.
The DCMS Foundation is a 501(c)(3) charitable foundation. See our website, dallas-cms.org, under
the Foundation heading for more information. Questions about the Foundation? Contact Connie
Webster, DCMS chief operating officer, at 214-413-1426 or connie@dallas-cms.org.
Please charge my gift of $_________ to my Visa / MasterCard / Discover / American Express
Card # ________________________________________ Security Code: ______ Exp. Date _______________
I have enclosed my gift of $ _____________. (Please make check payable to DCMS Foundation.)
Name: ___________________________________________________________________________________
Address: _________________________________________________________________________________
City / State / ZIP: ___________________________________________________________________________
I would like to memorialize / recognize / honor the following person(s) with my donation:
Name: ___________________________________________________________________________________
Address: _________________________________________________________________________________
City / State / ZIP: ___________________________________________________________________________
Specify the purpose for your recognition: _________________________________________________________
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