Vanguard Society Pledge Form

* Name: (Required)

* Name of Orthodontic Program:

* Expected Graduation Month/Year:

* Mailing Address:

* City:

* State:

* Zip Code:

* E-mail Address: (Required)

* Cell Number:

The recommended 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:

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