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Donation Form



Donation Amount

*Required

$25 (Student)

$35 (Minimum for Membership)
$50
$100:
$250
$500
$1,000
$10,000
Other:



How often would you like to make your donation?

One Time     Monthly     Quarterly     Yearly


Gift Dedications



Gift Membership: If this is a gift, please provide the name and address of the person receiving the gift.



If you have a special purpose for this donation, please let us know:



Please send an acknowledgement to the individual or organization to whom I am dedicating my donation. I have entered their address or email address below.




Contact Information

*Required

Salutation:
First Name Last Name
E-mail Phone
Address
City State/Province
Zipcode Country



Credit Card
American Express     Visa     Mastercard     Discover

Name on Card


Credit Card Number


Expiration Date
   


Please Help Us Further Serve You



Your gift today is in response to: Recent Mailing     From a Friend     Recent NWHM Event     Social Media     Press Coverage     Newsletter     Other:   


Would you like someone from the Museum to contact you about Planned Giving options?

Yes     No

If yes, best phone number on which to call you and best time:     AM    PM