International Maple Museum Centre - Croghan, NY - Lewis County Adirondacks Tug Hill Region

Contribute/Donate Form

CONTRIBUTION LEVELS

$25 Individual
$50 Family
$150 Corporate

Capital Fund $250 ...$500 ... Other

Endowment Fund $500 ... $1000 ... $2500 ... Other

CONTRIBUTOR INFORMATION

First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
E-Mail (required):

$ TOTAL

Payment Method:
After submiting this form, I will pay the above total via
my Paypal account
as Paypal Guest using my Credit Card
Mail a Check

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Form Pass Code

International Maple Museum Centre | P.O. Box 81. 9756 State Route 812 | Croghan, NY 13327
maplemuseumcentre.org

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