IETF > About the IETF > Forms > Membership Donations Form Membership Donations Form Share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on Google+ (Opens in new window)Click to email this to a friend (Opens in new window)Click to print (Opens in new window) Annual Donation/Renewal Your annual donation funds cutting-edge research, assists nearly 100 support groups worldwide, provides free education for patients, healthcare providers and the public, underwrites scholarships for students of all ages, and aids in raising awareness around the world. With your annual donation, you’ll receive our monthly TremorGram e-newsletter, a one-year subscription (3 issues) of Tremor Talk magazine and a free eBook, Essential Tremor: What the Experts Say. Plus, you can get a free printed version of the book with your donation of $100 or more. Take a look inside the Book: Your Personal Information:Designation*Mr.Mrs.Ms.Name* First Last Mailing Address*City*State/Province*Zip/Postal Code*Country*Phone*Email Address*How did you hear about the IETF?* Current Member/Donor Friend Family Healthcare Provider (doctor, nurse, neurologist, etc.) Support Group Newspaper Non-IETF Website Facebook Twitter Google+ YouTube Internet Search Other Other Please be specific.Donation Levels*$30$50$100$250$500President's Club - $1,000OtherGet a free printed copy of Essential Tremor: What the Experts Say with your donation of $100 or more, while supplies last. Other Amount Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20152016201720182019202020212022202320242025202620272028202920302031203220332034 Expiration Date Security Code Cardholder Name Billing Address (if different from the mailing address above) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Thank you for your annual donation! NameThis field is for validation purposes and should be left unchanged.