Donation Form

Updated 8/10/2008

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NAME ________________________________________________
ADDRESS_____________________________________________
CITY _________________________________________________
STATE _____________________ZIP____________
PHONE ____________________E-MAIL__________________

Giving Levels:
$25,000 - Name the Building
$1,000 Level - Benefactor
$500 Level - Supporter
$250 Level - Contributor
$100 Level - Donor
$50 Level - Donation
$20 Two Pins - Donation
$10 One Pin - Donation -- _______Bottle pin _______ Moxie Boy pin

$________________________Donation to Moxie Bottle Stand

Make your checks payable to: Matthews Museum
or Mail to:
Matthews Museum
PO Box 582 Union, ME 04862

SHARE THIS WITH A NEIGHBOR OR FRIEND /or GIVE A GIFT MEMBERSHIP.   Please pass this form on to a neighbor or friend who might be interested in donating monies to help the Museum. Feel free to make copies! Tax deductible memorials and tributes in any amount are always a way to recognize someone special in your life. The Museum is a 501(c)(3) tax exempt organization.