Your Gift Makes a Difference The opportunity to make a directed gift via the Giving Plus campaign will appear after you complete ALL INFORMATION for a regular donation to the Foundation. Please contact Colleen Elkins with any questions: [email protected] or 310-437-0554, ext 114. Thank you.Donation InformationWhat kind of donation would you like to make?(Required) Annual Recurring Donation Monthly Recurring Donation One-time gift Apply to Pre-existing Pledge One Time Gift Amount(Required) Diamond Patron: $10,000 Benefactor: $5,000 Donor: $3,000 Friend: $1,000 Supporter: $500 Other Other Gift Amount(Required) How would you like to direct your donation?(Required) General Fund Barbara Berci Memorial Fund In someone's honor In someone's memory Honoree NameReason for donation Birthday Anniversary Other Would you like us to notify the honoree of your donation? Yes No Honoree Email In memory ofWould you like us to notify the family of the deceased of your donation? Yes No Family Contact Name First Last Family Contact Email Address Family Contact Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Annual Recurring Donation(Required)Your first payment will be charged immediately, and subsequent payments charged yearly or until you cancel. You will receive an email notification before your next payment that will allow you to edit or cancel the recurring contribution. You may also cancel by emailing [email protected]. $2,000 per year $1,000 per year $600 per year $200 per year $100 per year Apply to existing Pledge(Required) Diamond Patron ($10,000 total/$2,000 per year) Benefactor ($5,000 total/$1,000 per year) Donor ($3,000 total/$600 per year) Friend ($1,000 total/$200 per year) Supporter ($500 total/$100 per year) Other Other Pledge Payment(Required) Monthly Donation Amount(Required)Your first payment will be charged immediately, and subsequent payments charged monthly or until you cancel. You will receive an email notification before your next payment that will allow you to edit or cancel the recurring contribution. You may also cancel by emailing [email protected]. Giving PlusThe Foundation has launched a new campaign – Giving Plus. After making a general donation to the Foundation, we are asking donors to make an additional gift which can be directed toward one of six “buckets” of SAGES initiatives – aka Giving Plus. Ten percent of the directed gift funds will remain with the Foundation with ninety percent going directly to projects falling within one of the six “buckets” outlined below. Giving Plus monies will be distributed annually, or upon SAGES request. For more information about what the buckets cover, please visit the Giving Plus Project Information Page.Please select which buckets you'd like to contribute to Education/Training: including ADOPT, Master Program, RAFT, Train the trainers, and Video Based Assessments (VBA) Innovation/Research: including Artificial Intelligence (AI), Annual Research Grants, SAGES Research Data Network (RDN), and Surgical Science Data (SDS) Leadership Development: the Fundamental of Leadership Development Course Global: SAGES Global Laparoscopic Advancement Program (GLAP) Sustainability: comprised of a joint Task Force between EAES and SAGES focused on addressing the impact of MIS on climate change Advocacy: comprised of SAGES Advocacy and Health Policy Committee (AHP) focused on reimbursement and surgical safety issues Education/Training(Required)Innovation/Research(Required)Leadership Development(Required)Global(Required)Sustainability(Required)Advocacy(Required)Giving Plus Total Price: $0.00 The Scope of My Life by Dr. George BerciDo you want to receive a copy of Dr. George Berci’s autobiography?(Required)Receive a copy of Dr. George Berci’s autobiography – The Scope of My Life With your minimum $25 donation to the Foundation. Yes, please mail me a physical copy-US addresses only Yes, please send me the ebook version. No, thank you. How many books would you like?(Required)You are entitled to 1 book per $25 donation. To what address should the book(s) be mailed?(Required) Street Address Address Line 2 City State 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 ZIP Code Donor InformationDonor Name(Required) Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last Suffix Institution/OrganizationIs this donation personal or on behalf of an organization?(Required) Personal On behalf of an organization Billing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone(Required)Email(Required) Total Credit Card(Required)Card Details Cardholder Name Notes to the SAGES FoundationCAPTCHA