Donation

 We welcome and appreciate your support of the Gallaudet University Museum.


Full Name:________________________________________________

Address1: ________________________________________________

Address 2: ________________________________________________

City, State, Zip Code: _______________________________________

Phone: __________________________  Ext.____________________

E-mail address: ____________________________________________

Amount of Donation   $______________________________________

PAYMENT:      

AMERICAN EXPRESS ___     DISCOVER___    MASTER CARD___   VISA___ 

CHECK:   SEE BELOW FOR INSTRUCTIONS

Credit Card Number ________________________________________

Security Code _____________________________________________
Expiration Date____________________________________________
Signature _________________________________________________

You are:        Alumnus/a ___          Sponsor___          Friend___         Parent___

For alumni, what are the years you attended Gallaudet University?

You:__________________________    Spouse:___________________

Please specify which fund you wish to support:

__The Gallaudet University Museum Donation Fund

(Supports the operations of the Museum annually.)

OR

__The Gallaudet University Museum Endowment Fund

(Contributions invested with a portion of the income used annually.)

If you wish to support either fund, please make your contribution payable to the fund of the same name.

Thank you for supporting the Gallaudet University Museum!

If you have any questions, please contact us at museum@gallaudet.edu