OREF

Gift & Payment Information

Review Gift

ORS logo

If you have any questions or need help with this form, please contact OREF by e-mail or phone: John Johnson/(847)-430-5106

A contribution of $1,000 or more earns Order of Merit recognition and the
opportunity to designate $500 or more to OREF and the balance to ORS.

Order of Merit Platinum: $5,000+ Gold: $2,500+ Silver: $1,000+

Thank you for your gift.

Amount

OREF

Orthopaedic Research Society


	Support ORS through OREF today Fund orthopaedic research and education that will improve patient care with your donation to the Orthopaedic Research Society through OREF. Research and education will define the future of our field. So will your support. Please make your gift today.

Total Gift ($1,000 or more): Use the Calculate button to view the total amount of all gift payments for your donation.

Check this option to make this gift in honor or in memory of a loved one, and then enter the appropriate information in the fields that display.

Yes, this is a tribute or memorial gift.

Honor Gift Type: Choose the memorial gift only if the person you are honoring is deceased.

Honoree Name:

Send acknowledgement to (name): Enter the name of the person that should be contacted regarding this gift.

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Billing Information

Title:

First Name: Required A first name is required.

Middle Name:

Last Name: Required A last name is required.

Suffix:

Street 1: Required A street address is required.

Street 2/ Organization:

City: Required A city is required.

State/Province: Required A state or province is required.

ZIP/Postal Code (if no code, enter 000): Required A zip or postal code is required. If you do not have a code, enter 000. A zip or postal code is required. If you do not have a code, enter 000.

Country: Required Billing country is required.

Email Address: Required An email address is required.

For your privacy, subscribers can unsubscribe using any email or login to change communication preferences.

If you donate and have not already registered, you will receive periodic updates and communications from OREF.

Preferred Mailing Address

Check this box if the billing information and the preferred mailing address are the same.

Use the billing information as the preferred mailing address.

Title:

First Name: Required Donor first name is required.

Middle Name:

Last Name: Required Donor last name is required.

Suffix:

Street 1: Required Donor street address is required.

Street 2/ Organization:

City: Required Donor city is required.

State/Province: Required Donor state or province is required.

ZIP/Postal Code (if no code, enter 000): Required A zip or postal code is required. If you do not have a code, enter 000. A zip or postal code is required. If you do not have a code, enter 000.

Country: Required Donor country is required.

Check this box if you want this site to remember you when you return.

Remember Me

Please enter your name (may include spouse/partner) as you would like it to appear when recognized. Contributors are recognized in the Annual Report and at the OREF Exhibit at the AAOS Annual Meeting.

Payment Information

Select a Payment Type: Required A payment type selection is required. Payment options are credit card or bank account withdrawal.

Credit Card Type:

Visa

Discover

American Express

MasterCard

Credit Card Number: Required Credit card number is required.

CVV Number: Required CVV number is required.

What is this?

Select month of credit card Expiration Date: Required Select Expiration Year

Bank Routing Number: Required Bank routing number is required.

What is this?

Bank Account Number: Required Bank account number is required.

Verify Bank Account Number: Required Bank account number is required.

Account Type: Required Required

	Checking
	Savings

Required Bank account withdrawal confirmation is required.

By checking this option, I agree to use my bank account as a payment method and authorize this organization to debit my bank account to fulfill my donation commitment.