The Dr. John Barry Traveling Fellowship Award in Transplantation Contribution Form
Urologic Society for Transplantation and Renal Surgery
Thank you for making a tax-deductible contribution to the USTRS
John Barry Traveling Fellowship Award in Transplantation
All Benefactors are gratefully acknowledged in the meeting program and website - unless you indicate otherwise.
Organization / Company
Email Address: (for confirmation)
Acknowledgment listing okay?
The most frequently given amounts are shown below but you can choose any amount you wish in the next box.
Contribution - $250
Contribution - $50
Contribution - $75
Contribution - $100
Contribution - $500
Optional: In dedication to or in memorial of
(please state which and give full name):
Click "Continue" button below. On the next page you may pay your fees by check or by credit /debit card using the PayPal checkout cart.
Note: All Funds go to the Urologic Society for Transplantation and Renal Surgery (USTRS) Dr. John Barry Award Fund. The USTRS is a 501 (c) (3) tax exempt charitable organization. Contributions are deductible under section 170 of the IRS Code.
TIN 46-3864810 (
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