Give to the NCMS PAC - North Carolina Medical Society

Give to the NCMS PAC: By enrolling as a member of NCMS PAC, you can join the fight to protect your practice and your patients. Make your one-time gift below or check out our new recurring gift option.

PLEASE NOTE: When donating to the PAC, please use a personal credit card or fill in information, print, and mail it along with your personal check.
Mail to: NCMS PAC, PO Box 25834, Raleigh, NC 27611.

LEARN MORE ABOUT RECURRING GIFTS: Now you can take the hassle out of giving by having a set amount charged to your personal credit card on a monthly basis. No checks to write, and you can split your gift into manageable amounts. Set up your recurring donation here.

For questions regarding the NCMS PAC, please contact Sue Ann Forrest, sforrest@ncmedsoc.org, 919-833-3836.

One-Time Donation Information

Amount:

$ 2,500.00

$ 1,000.00

$ 500.00

$ 250.00

$ 100.00

Other

Billing Information

Title:

First name:

Last name:

Country:

Address lines:

City:

State:

ZIP:

Phone:

Email:

Payment Information

Cardholder's Name:

Credit Card Number:

Card Type:

Valid From:

/	(Maestro/Switch/Solo only)

Card Expiration:

Issue Number:

(Maestro/Switch/Solo only)

Card Security Code:

Note: The Card Security Code is not required for Maestro, Switch and Solo cards.

Additional Security

This is a security measure to help prevent fraud.

NCMS PAC Contribution Information:

Contributions to the NCMS PAC are not limited to the suggested amount. The NCMS will not favor or disadvantage anyone based on amounts of or failure to make PAC contributions. Copies of the NCMS PAC reports are filed with the North Carolina State Board of Elections and the Federal Elections Commission. (Contributions are subject to limitations of FEC regulations, Sections 110.0, 110.2 and 110.5.) Contributions are not deductible as charitable contributions for federal income tax purposes. (Federal regulations require this notice.)