Hereditary Disease Foundation

CELEBRATING 50 YEARS

REWRITING THE FUTURE THROUGH

TRAILBLAZING RESEARCH

TO BENEFIT THE INNOVATIVE SCIENTIFIC RESEARCH OF THE HEREDITARY DISEASE FOUNDATION

October 22, 2018

Harvard Club, New York City

Registration

I/We will serve as Co-Chair(s).
TRAILBLAZER Table for 10 guests at $100,000
Full page Acknowledgment in the Program

I/We will serve as Vice-Chair(s).
LAUREATE Table for 10 guests at $50,000
Prominent Acknowledgment in the Program

I/We will serve as Patrons(s).
DISCOVERER Table for 10 guests at $25,000
Special Acknowledgment in the Program

I/We will serve on the Committee.
PIONEER Table for 10 guests at $15,000
Acknowledgment in the Program

Individual Tickets:
TRAILBLAZER Ticket(s) at $10,000 each
LAUREATE Ticket(s) at $5,000 each
DISCOVERER Ticket(s) at $2,500 each
PIONEER Ticket(s) at $1,500 each
INVESTIGATOR Ticket(s) at $1,000 each
Sponsor a Scientist:
We also wish to underwrite a scientist at the $ level.

I/We cannot attend but enclose a fully tax-deductible contribution of $

Total Registration Amount $

All amounts in excess of $250 per ticket may be claimed as tax-deductible.

Name as you would like to be listed.

Comments

Your Information

Salutation

First Name *

Last Name *
Email *

Phone *
Phone Type
Company

Country *
Address 1 *

Address 2
City *

State *

Zip *

Payment

Credit / Debit

Checking Account

Card Number *

Expiration Date *

Security Code *

Amount $0 USD

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Questions

What shows up on my statement?

This transaction will appear on your credit card or bank statement as DON* Hereditary Disease F. Hereditary Disease Foundation has partnered with GiveDirect to securely process online payments.
Is my transaction secure?

All information collected by GiveDirect is securely processed and stored. We take many measures to protect the confidentiality and security of your information. We use encryption technology to ensure the safe transmission and storage of your information. Your personal information and donation amount is shared with Hereditary Disease Foundation, but no information is shared with third parties by selling, giving, trading or any other method. Users of this site will not receive unsolicited contact from third parties.
Do I get a receipt?

A printable receipt page is displayed on your computer screen at the end of your transaction. We will also email a receipt to the email address you provide. The email will come from donations@givedirect.org. For a recurring transaction, a receipt is emailed to you each month, quarter, or year after the transaction processes.
How can I contact you?

Phone:
212-928-2121

Email:
meghandonaldson@hdfoundation.org

Address:
601 West 168th Street, Suite 54
New York, NY 10032