Women's Medical Fund

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for your support for WMF’s Spring Reception celebrating WMF's 35th anniversary. We hope to "see" you on Thursday, May 14, 2020 at 7 PM for our virtual gathering via Zoom. We'll email you a link closer to the event.

I WANT TO SUPPORT WMF’S ANNUAL SPRING RECEPTION AT THE FOLLOWING LEVEL:

Visionary (8 tickets)

$13,500.00

Vanguard (6 tickets)

$7,000.00

Trailblazer (5 tickets)

$3,500.00

Pioneer (4 tickets)

$1,350.00

Groundbreaker (3 tickets)

$700.00

Sponsor (2 tickets)

$350.00

Friend of the Fund (1 ticket)

$100.00

General Admission Registration Donation:

Qty

Description

Amount

Total

Suggested General Admission Ticket(s) - over 35

$70.00

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Suggested General Admission Ticket(s) - 35 and under

$35.00

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Donation to support the Spring Reception. (You can register for the Zoom gathering with a donation of any size.)

Total: $0.00

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Registration Information:

Each registrant will receive a link to the zoom event via email, prior to May 14.

I will be attending the event: *

What questions would you ask in a conversation with our speakers?

Guest Name:

Please donate my tickets to lower income attendees or younger activists.

Acknowledgment Name:

I would like to remain anonymous.

Employer:

Profession:

WMF is a unit of Resources for Human Development, a registered charitable organization.
Registration and financial information are available by calling toll free within PA 1-800-732-0999.
Registration does not imply endorsement.

Your Payment Information:

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *