For donations up to $2,500.00, please fill out the form below. For donations of $2,500.00 or more, please contact the office by calling 414-389-8615 or send a check to SCAF, 6737 W. Washington St., Ste. 4210, Milwaukee, WI 53214. If you would like to make a stock gift, a planned gift or you would like to include the SCA Foundation in your will, please contact the Foundation office. Thank you for your support.

Personal Information

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Designation Information

I want my gift to go where it is most needed.I would like to support the SCA Foundation in the following endeavors:

Care

FOCUS on Reducing Human Error

STS Database Project

Patient Safety Endowment

Investigation

Annual Research Grant

Roizen/Anes. Res. Fund SCA Starter Grant

Endowed Research Fund

Knowledge

General Education Operating Fund

Earl Wynands Lecture Fund

Kaplan Fellows Program

Educational Endowment Fund

All designated gifts will include a 5% donation to the annual fund to cover administrative costs.

Honor A Mentor/In Memorial

Please list my gift or pledge as given In Honor Of A MentorIn Memory Of

If you would like to Honor more than one Mentor, please contact the SCA Foundation office at 414-389-8615 or foundation@scahqgive.org

Gift Made In Honor/ In Memory Of: Enter Name and Address Below

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