Destination Health Tribute Gift - North Carolina Medical Society

Destination Health - Join the NCMS Foundation on this journey

Honor or remember a loved one with a tribute gift to Destination Health

Please contact Belinda B. McKoy, NCMSF Annual Fund Manager, if you have any questions about Destination Health or providing a donation in tribute to someone.

Destination Health Tribute Donation Information

Choose your level of giving below.

Amount:

Destination Health Donor I

$ 50.00

Destination Health Donor II

$ 100.00

Destination Health Guide

$ 250.00

Destination Health Navigator

$ 500.00

Destination Health Landmark Donor

$ 1,200.00

Other

Gift Details

TELL US WHO YOU WOULD LIKE TO HONOR: Please provide the following in the TRIBUTE DETAILS box below: The honoree’s name, mailing address, and whether the gift is done in their honor or in memory.

Anonymous:

I prefer to make this donation anonymously

Tribute Details:

Billing Information

Title:

First name:

Last name:

Country:

Address lines:

City:

State:

ZIP:

Phone:

Email:

Payment Information

PLEASE NOTE: IT MAY TAKE SEVERAL SECONDS FOR YOUR TRANSACTION TO PROCESS; DO NOT CLICK ON THE DONATE BUTTON MORE THAN ONCE. Although it may seem as though your submission has lagged, you should see a confirmation screen momentarily and you will receive a confirmation email once the donation has processed.

Cardholder's Name:

CC Number:

Card Type:

Expiration:

Security Code:

Additional Security

This is a security measure to help prevent fraud.