FMA PAC Donation

In order to pass laws that protect patients and support the medical profession, physicians need strong allies at the Capitol. When you donate to the FMA PAC, you make Florida a better place to practice medicine by helping our Friends of Medicine get elected and maintain their seats in the Florida Legislature. Your donation ensures that physicians have a voice in the Legislature, which is vital in passing pro-medicine legislation and defeating harmful bills. Click here for a printable form.

Donation Amount

Donor Name

First NameLast Name

Occupation

Complete if not an FMA PAC member.

Donor E-mail

Donation Type

Payment

USDTotal

Payment Method
Credit	Express

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

FMA ID and/or Comments

FMA ID

Contributions to the FMA PAC are not deductible as a charitable contribution for federal income tax purposes.