ACLM Foundation Donation Form

ACLM Foundation Corner

The ACLM Foundation is proud to offer the membership of ACLM a way to honor, memorialize, or wish a speedy recovery to friends, relatives and fellow members while contributing to the educational goals of ACLM. Each contribution will be acknowledged to both the honoree and donor, and hopefully will become a regular listing in Notes from the President. Such contributions are considered tax deductible by the IRS and will go to finance such projects as the National Health Law Moot Court Competition at Southern Illinois University School of Law, Annual Meeting speakers, Legal Medicine and Bioethics writing contests, and Textbook awards to outstanding medical and law school students. The donation form may be printed out and mailed to the ACLM office (Attn: ACLM Foundation) at the address below. Let us make this a growing part of ACLM's collegial life.

ACLM Foundation Donation Form

ACLM Foundation
1100 E. Woodfield Rd., Suite 350
Schaumburg, IL 60173
Phone: (847) 969-0283
Fax: (847) 517-7229

This gift is being made

In Honor of:   for  . (Specify Reason)

In Memory of:  .

To Wish:   a speedy recovery.

No acknowledgement is necessary.
Please send an acknowledgement (amount not disclosed) to the above individual or family of the deceased, at the address below.

Amount (please circle)

  • $25
  • $50
  • $100
  • $250
  • $500
  • $1,000
  • $2,000
  • $2,500
  • $5,000
  • $7,500
  • $10,000
  • $ 
    (Other amount)

Acknowledgement To:

Name:  

Address:  

City, State, Zip:  

Donor:

Name:  

Address:  

City, State, Zip:  

Thank you for your donation!