TPS Foundation Donor Form

TPS Foundation Donation

The mission of the Texas Pediatric Society Foundation (TPSF) is ‘to enhance the well-being of Texas children by supporting efforts to help improve their health, safety, and education and to make a positive impact on their lives and futures’. Thank you for helping us make Texas a better place for children!

If you would prefer to mail a check, please complete this form and mail to the TPSF.

The TPS Foundation is a 501(c)(3) charitable tax-exempt organization - IRS tax exempt number 74-302311.

Texas Pediatric Society Foundation
SPONSORSHIP LEVELS

Warrior For Children - $10,000

Your logo displayed on our full page “Thank You” ad in Texas Medicine ($600 value)(Circulation 35,000)
Company logo link on TPSF event website
Table for 10 at the event ($1,350)
Exclusive signage at the event
Recognition from the podium during event
Name engraved on Benefactor Board (large plate)
Included in Promotion Emails to the TPS membership (over 4000 Texas Physicians, Residents/Fellows, and Medical Students)
Recognition in TPS Annual Meeting Onsite program (if received by 08/01)

Hero For Children - $5,000

Your name displayed on our “Thank You” ad in Texas Medicine ($300 value)(Circulation 35,000)
Recognition in TPS Annual Meeting Onsite program (if received by 08/01)
4 Benefit Tickets ($500 value)
Company logo link on TPS Foundation website
Name Engraved on Benefactor board (large plate)
Event signage

Champion For Children - $2,500

Recognition in TPS Annual Meeting Onsite program (if received by 08/01)
2 Benefit Tickets ($250)
Recognition on TPS Foundation website
Name Engraved on Benefactor Board (small plate)
Listing with all sponsors in Texas Medicine
Event signage

Ambassador For Children - $1,500

2 Benefit Tickets ($250)
Name engraved on Benefactor Board (small plate)
Recognition on TPS Foundation website
Listing with all sponsors in TPS Annual Meeting Onsite program
Event signage

Advocate For Children - $300

Recognition on TPS Foundation website
Listing with all sponsors in TPS Annual Meeting Onsite program (if received by 08/01)
Event signage

Question Title

* 1. Giving Level Contribution Amount

Advocate for Children $300 - $300 USD

Ambassador for Children $1,500 - $1500 USD

Champion for Children $2,500 - $2500 USD

Hero for Children $5,000 - $5000 USD

Warrior for Children $10,000 - $10000 USD

Supporter for Children under $300 or Other Amount

Minimum amount: $1 USD

You will pay at the end of this survey.

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* 2. Honoree Information

In Honor Of

In Memory Of

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* 3. Honoree Information

Individual Prefix

First Name

Last Name

Email Address

Street Address

Postal Code

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* 4. Donation Type

TPSF General Fund

TPSF Primary Endowment

Emergency Relief/Recovery

San Antonio Pediatric Society Fund

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* 5. TPSF Memo Field

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* 6. Donor Information

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* 7. Donor Email Address

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* 8. Donor Address

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* 9. Primary Location is

Office

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