Children's Trust Membership To join the Children's Trust, please select a membership option, provide the appropriate information, and click submit. Individual: Children’s Trust member - $500 Quarterly volunteer opportunities Quarterly networking opportunities Careholders meeting invitation Grantmakers’ meeting invitation and vote Website recognition Couple: Children’s Trust members - $1,000 Quarterly volunteer opportunities Quarterly networking opportunities Careholders meeting invitations Grantmakers’ meeting invitations and votes Website recognition Dinner with the Doctors invitations You can make an additional gift to be recognized as an Executive Circle Children’s Trust member (Individual Membership gift & $500+ per person) All benefits outlined above as well as: Customized tours with UPMC Children’s Hospital of Pittsburgh researchers and physicians Recognition on UPMC Children’s Hospital donor wall Recognition on Children’s Trust event print materials If you are interested in setting up a payment plan, please contact Caitlin McCarthy at caitlin.hazelton@chp.edu or 412-692-6578. Children's Trust Membership Please select: Couple$ 1,000.00 Individual$ 500.00 Executive Circle$ 1,000.00 Couple Executive Circle$ 2,000.00 Other Gift: $ * Member Information If registering as a couple, please include partner information. For matching gifts, please use the box below to search for your company, to confirm it has a matching-gift program. Frequency: Weekly Monthly Quarterly Annually On: Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting: Ending: Ending: First Name(s)/Last Name(s): Company Name: Billing Information Title: Dr. Dr. and Mr. Dr. and Mrs. Drs. Mr. Mr. and Mr. Mr. and Mrs. Mrs. Ms. Ms. and Ms. Mx. The Family of First name: * Last name: * Country: United States Andorra Australia Austria Bahamas Belgium Belize Canada Denmark England France Germany Greece Hong Kong India Israel Japan Jordan Netherlands Romania Saudia Arabia Singapore Sweden Switzerland Turkey Ukraine United Arab Emirates United Kingdom * Address lines: * City: * State: <Please Select> AA AB AE AK AL AP AR AS AZ BC CA CO CT CZ DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MP MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PE PA PR PW QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT * ZIP: * Phone: Email: * Payment Information Payment Method: Credit CardDirect Debit/Checking Cardholder's Name: * Credit Card Number: * Card Type: Visa American Express Discover MasterCard * Card Expiration: 01 02 03 04 05 06 07 08 09 10 11 12 / 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 * Card Security Code: *