Vanguard Society Pledge Form

* Name: (Required)

Student ID#:

* Name of Orthodontic Program:

* Expected Graduation Month/Year:

* School Mailing Address:

* City:

* State:

* Zip Code:

* E-mail Address: (Required)

* Cell Number:

The payment structure for Vanguards is as follows:

$5 per month during residency
$10 per month after graduation for 5 years
$35 per month starting year 6 until pledge is fulfilled

This is a minimum payment structure.

Yes, I would like to become a lifetime member of the Vanguard Society and pledge the following amount to the American Association of Orthodontists Foundation:

Vanguard Society ($5,000) Vanguard Regent ($25,000)

I want to help the work of the AAO Foundation by contributing to one of the options below:

Areas of Greatest Need

AAOF Endowment.

Craniofacial Growth Legacy Collections Project

Research Initiative Fund.

Donated Orthodontic Services (DOS).

Disaster Relief Fund.

a. Please contact me for my donation information to begin immediately making my pledge payments.

b. I prefer to defer my pledge payments until a later date. Please contact me on the date below to collect my donation method:

Vanguard Society Pledge Form

Payment Options