Make a Donation Donor Information First Name * Last Name * Email * Password * Login if you have an account Donation Amount 50 USD 100 USD 1000 USD 5000 USD Include Credit Card Fees Credit Card Fees Donation Frequency One Time Weekly Monthly Credit Card Information Card Number Expiration Month (MM) Expiration Year (YYYY) CVC I give a donation for: General Donation Support the Capacity Development of Doctorsact Technology Fund Primary Health Care Fund Short term medical missions: Volunteers Fund Comments