Contribution Form

State law requires we use our best efforts to collect and report the name, mailing address, and employer of individuals who contribute to MPSPAC. MPSPAC can accept only personal contributions.  No corporate contributions can be accepted.
Important notice a out your contibution: Contributions to the MPS PAC are voluntary and not a requirement of membership in the MPS. The amount shown on this form is only a suggestion. Members may give more or less than the suggested amounts. MPS will not look upon with favor or disfavor any member because of the amount of their contribution or decision to make no contribution. Contributions to MPS PAC are used for political purposes and not deductible for federal income tax purposes. For more information or to inquire about your giving history, contact MPS PAC at 651-407-1873.

Contribution Level

Please accept my donation of
If you would like to become a sustaining member by contributing a designated amount each month by automatic credit card payment, please call 651-407-1873. Thank you

Note: MPSPAC can accept only personal contributions. No corporate contributions can be accepted.

I give my permission for MPSPAC to list my name and contribution level in MPS publications. *
I am interested in volunteering or serving on the MPSPAC Board. *
Thank you for your contribution! It helps strengthen psychiatry's voice in support of all Minnesotans who need and deserve access to high-quality, accessible mental health care provided by our state's best-prepared mental health professionals delivered in a comprehensive and sustainable system of care.