Donate Change Tomorrow by Giving Today! At the WSMA Foundation, we believe that medicine should reflect the communities it serves—and we are committed to offering the first WSMA Foundation Future Physician Scholarship next year to a medical student who is from a background that is underrepresented in medicine. With your help and with the growth of our endowment fund, our goal is to significantly help a student attend medical school in Washington state, excel in their studies without financial worries, and ultimately make a profound impact on the health of their communities. Your donation today will help create lasting change! When you give, you are not only helping to fund tuition, you’re also helping to build a more diverse medical workforce, one that better understands and advocates for the needs of underserved populations. Thank you for your support and for helping us build a brighter future in medicine. Together, we can make health care better for everyone! If you have any questions, please contact the WSMA at 206-441-9762 or wsma@wsma.org. First Name(Required)Last Name(Required)CredentialsBilling Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) OrganizationDonation Recommended Levels (any amount appreciated and accepted)$25,000 Diamond$10,000 Platinum$5,000 Gold$2,500 Silver$1,000 BronzeDonation Frequency(Required) One-time Donation Monthly Donation Yearly Donation Today's Donation Amount # of PledgesTotal PledgeThis field is hidden when viewing the formWould you like to cover the processing fee of 3.5%? Yes No Processing Fee Price: $0.00 This is the credit card processing fee that you have opted to cover in your transaction.Gift Instrument I pledge the total amount listed above to the Washington State Medical Association Foundation for Health Care Improvement’s Scholarship and Diversity Advancement Fund, also or hereinafter known as the WSMA Foundation Scholarship and Diversity Advancement Fund, to be paid as follows: This gift shall be used for the WSMA Foundation Scholarship and Diversity Advancement Fund to build a more diverse physician population in Washington state by supporting students who are underrepresented in medicine. This gift may, for investment purposes, be merged or commingled with any of the investment assets of the WSMA Foundation, in accordance with the policies of the WSMA Foundation. If this gift does not meet the minimum funding requirement for an endowed fund, it shall be held for current use consistent with the purposes set forth above. If changed circumstances should at some future time cause the continuation of this fund to be inappropriate or impractical, then the Board of Directors of the WSMA Foundation may redesignate the purpose of the endowment, and the income therefrom, provided that terms of the redesignation shall adhere as closely as is reasonably possible to the original intent for this fund.Gift Instrument Consent(Required) By checking here, I agree to the terms of the gift instrument above. Untitled I wish to keep my donation anonymous. Total Today Credit Card American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name Thank you for supporting the WSMA Foundation’s work to build a more diverse physician population in Washington state. Δ