10500 Little Patuxent Parkway
Suite 210
Columbia, MD 21044
Phone: 410-992-3134
Submitted by Anonymous (not verified) on Wed, 07/31/2019 - 04:04

Our Online Recurring Donation Form allows you to make contributions to The Foundation for Post-Acute and Long-Term Care Medicine, Wall of Caring, and the Foundation's Futures Program by allocating your donation amount across one of these areas over time with payments made automatically according to the schedule you set up.  All recurring online contributions are processed by our secure PayPal site.

Contribution Levels

Contribution Levels
Level Range
Supporter $25 - $99
Friend $100 - $249
Patron $250 - $999
Charter Club $1,000 - $4,999
Founder's Club $5,000 - $9,999


  • 1 Current: Contributor's Information
  • 2 Donation Selection
  • 3 Complete
The information on this page pertains to your personal information.
Please list credentials separated by commas.
AMDA Member
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Listing Option
Select to include your name if you'd like your name to appear in our list of contributors. Select to exclude your name if you're making an anonymous donation.
Indicate whether your employer has a matching gift program or not.