Thank you for supporting the Department of Emergency Medicine.

Select one or more areas to support:
$	Champions Network Fund
$	UIC Derek Piper Endowment Fund for the Emergency Medical Education Leadership
$	Emergency Medicine Residency Program Fund
$	Leah Anne Davis Emergency Medicine Memorial Fund
$	Tamara O'Neal Social Emergency Medicine Legacy Fund
Or indicate a physician or other area that may have an important meaning to you:
$
$	Total

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Your gift to the Department of Emergency Medicine will be processed and receipted by our fundraising partner, the University of Illinois Foundation:

Harker Hall
1305 West Green Street
Urbana, IL 61801
217-333-0675
www.uif.uillinois.edu