The NCPA Foundation
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space NCPA Foundation
100 Daingerfield Road
Alexandria, VA 22314
Tel: 800.544.7447
or 703.683.8200
Fax: 703.683.3619
info@ncpafoundation.org


The NCPA Foundation is committed to supporting the growth and advancement of independent community pharmacy. A gift to the NCPA Foundation will help support low-interest educational loans and scholarships to pharmacy students in need, critical research and programs to improve the success of independent pharmacy, and financial aid to community pharmacy owners for their recovery in the event of disaster, accidents, or illness. For a complete description of the Foundation's activities, see the Foundation Annual Report.

The NCPA Foundation is a nonprofit 501(c)(3) organization. Contributions and gifts to the NCPA Foundation are generally deductible as charitable contributions for federal tax purposes. (Federal Tax ID 36-6772250)

Fields marked with an * are required.

Donation Designation:
Unrestricted
NCPA Pruitt-Schutte Student Business Plan Competition Endowment Fun
Presidential Scholarship for Academic and Leadership Excellence
Neil Pruitt, Sr. Memorial Scholarship
J.C. and Rheba Cobb Memorial Scholarship for Excellence in Government Affair
Willard B. Simmons, Sr. Memorial Scholarship for Excellence in Pharmacy Management

* Donor Level

Individuals   Corporations
 

Leadership Series

 
$

$

5,000 and above
Visionary
50,000 and above
2,500-4,999
Futurist
25,000-49,999
1,000-2,499
Catalyst
10,000-24,999
500-999
Strategist
5,000-9,999
 
Friends of the Foundation
 
$

$
250-499
Fellows
2,500-4,999
100-249
Patrons
1,000-2,499
Gifts up to $99
Associates
Gifts up to $999

 

Donor Designation

  I would like to make a monthly donation.
Please bill my credit card monthly in the amount of $

  I would like to make a annual donation.
Please bill my credit card annually in the amount of $

Please bill my credit card the one time amount of $

Charge my:
American Express | Discover | MasterCard | Visa


Please contact me regarding a Planned Gift to memorialize my legacy.   Remembering the NCPA Foundation in your will automatically includes you in the elite NCPA Foundation Legacy Society.

 
Please indicate if your contribution is designated for a Memorial, Honorary, or Special Occasion gift:
  In Memory of:
  In Honor of:
  On the
      Occasion of:
Please provide your name as you would like it listed in the NCPA Foundation Annual Report and check your preference for individual or company name:
  Name
  Company
    Address
    City State Zip
    Telephone
    E-mail Address
Please enter your credit card information here:
  Name on Card
  Card Number
  Card Expiration   Security Code*
  E-mail Address
     *Security code is the three-digit number on the back or four-digit number on the front of your credit card.