A. William Blackstock, Jr., MD Endowed Lectureship Fund

Atrium Health Wake Forest Baptist is a preeminent learning health system that promotes better health for all through collaboration, patient-centered care and innovation.

To make a tax-deductible donation to support the A. William Blackstock, Jr., MD Endowed Lectureship Fund, please complete and submit the form below.

If you would like to make a gift using an asset, such as real estate or appreciated securities, please call our office at 336-716-4589.

To make an installment pledge or to learn more, please contact John Turner at jturner@wakehealth.edu or 336-716-2275.

= Required fields

Yes, I would like to increase my donation by 3.5% to cover related transaction fees so 100% of my donation goes to Atrium Health Wake Forest Baptist and the Wake Forest University School of Medicine.

Field Is Required Enter a gift amount:

$1,000.00

$500.00

$250.00

$100.00

Other

Enter amount

Yes, automatically repeat this gift every month.

Comment:

Memorial/Honorarium Gift

Yes, this is an honor or memorial gift. If you would like us to notify someone of your gift, provide the notification recipient's name and address below.

Honor Gift Type:

Honoree First Name:

Honoree Last Name:

Notification Recipient First Name:

Notification Recipient Last Name:

Notification Recipient Street 1:

Notification Recipient Street 2:

Notification Recipient City:

Notification Recipient State/Province:

Notification Recipient ZIP/Postal Code:

Notification Recipient Country:

Please enter your name as it appears on your credit card and the address that appears on your credit card statement

Title:

First Name:

Middle Name:

Last Name:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

Yes, I'd like to receive email updates from this organization.

Payment Information

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

myWakeHealth

myWakeHealth

A. William Blackstock, Jr., MD Endowed Lectureship Fund

Memorial/Honorarium Gift

Payment Information

Credit Card Information: