TSAPAC Contribution

Categories of TSAPAC Membership:

Diamond ≥ $1,000 OR $84/month
Platinum = $750 OR $62.50/month
Gold = $500 OR $42/month
Silver = $250 OR $21/month
Retired Diamond = $100
Resident Diamond = $100
Resident = $20

Contributions may be made as a one-time payment or divided into monthly payments. The above amounts are based on 12 months, starting in Sept. For help determining monthly payment amount, see

If making monthly payments, you can use the following Payment Chart to determine the monthly payment amount needed in order to reach your chosen Membership Category. The TSAPAC fiscal year runs from Sept. 1st - Aug. 31st, all contributions should be paid in full by Aug. 31st.

In the chart, find the current month and your preferred Membership Category. That is the amount you will need to enter in order to reach your chosen level of support by the end of the TSAPAC fiscal year (Aug. 31st)

	Membership Categories
Month (# of payments)	Diamond $1000	Platium $750	Gold $500	Silver $250
Sept (12 payments)	$83.34	$62.50	$41.67	$20.84
Oct (11 payments)	$90.91	$68.19	$45.46	$22.73
Nov (10 payments)	$100	$75	$50	$25
Dec (9 payments)	$111.12	$83.34	$55.56	$27.78
Jan (8 payments)	$125	$93.75	$62.50	$31.25
Feb (7 payments)	$142.86	$107.15	$71.43	$35.72
March (6 payments)	$166.67	$125	$83.34	$41.67
April (5 payments)	$200	$150	$100	$50
May (4 payments)	$250	$187.50	$125	$62.50
June (3 payments)	$333.34	$250	$166.67	$83.34
July (2 payments)	$500	$375	$250	$125
Aug (1 payments)	$1,000	$750	$500	$250

Enter Your Contribution Per Payment Amount
and then Select a Payment Option:

The TSAPAC fiscal year runs from Sept. 1st- Aug. 31st,
all contributions payment options are paid in full by Aug. 31st.

Per Payment Contribution Amount: $

Single Payment of amount entered above.
12 Monthly Payments of amount entered above.
4 Quarterly Payments of amount entered above.

Enter 'Y' here if you would like to be a sustaining member
and continue your contributions year to year without having to re-subscribe.
Contributions can be changed or cancelled at anytime by calling the TSA office.

Political contributions to TSAPAC are voluntary. The TSAPAC supports office holders and candidates for election to state offices who understand the importance of organized medicine and the specialty of Anesthesiology. No portion of any contributions to TSAPAC may be deducted as a business expense for federal income tax purposes. Contributions to TSAPAC will be reported as required by law. The TSAPAC may accept individual and professional association (PA, PC or LLC) contributions only.