Albert Einstein Society Membership

 

On-Line Payroll Deduction for Employees and Residents of Einstein Healthcare Network

(For a printable form, please click here)

The amounts listed below are the minimum contribution required for each level of membership. If you would like to donate an amount above the minimum, please enter your total intended amount in the bottom option and the corresponding level will be applied. All Einstein Societymembers are invited to attend the Membership Luncheon at Einstein Medical Center Philadelphia on June 13th. Sustaining Members and above are invited to attend the AES Dinner at the Four Seasons on June 6th.

Please indicate below if you will or will not be attending either event.

Thank you for your support.

Employee/Resident Membership Levels:
The amounts listed below are the minimum contribution required for each level of membership. If you would like to donate an amount above the minimum, please enter the TOTAL AMOUNT in the bottom option and the corresponding level will be applied. Your total contribution amount will be divided by the number of pay periods you select.
$5,000.00
$3,000.00
$1,500.00
$700.00
$10.00
$    
Employee/Resident Donation Information/Dinner Registration:
Please indicate below the number of pay periods you would like your donation to be divided by. Also please indicate if you will/will not be attending the Dinner on June 12 (Sustaining Members and above). If you do plan to attend and are bringing a guest, please list the guest's name in the box provided.
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Contact Information
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Einstein Healthcare Network
Office of Development
Braemer Building, Ground Floor
5501 Old York Road Philadelphia, PA 19141
Phone: (215) 456-7200
Fax: (215) 456-7165


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