Back

2005 Annual Giving Campaign

Please mail this completed form to:
          Museum of Northern Arizona
          2005 Annual Giving Campaign
          3101 North Fort Valley Road
          Flagstaff, AZ   86001-8348

I am enclosing my gift in the amount of:

_____  $25     _____ $50     _____  $100     _____  $250     _____  $1,000

Other amount  ______________________

Charge my   _____  Visa     _____  MasterCard     _____  American  Express

Number  _______________________________________________________

Expiration Date  _________________________________________________

Signature  ______________________________________________________

Please print the following information:

Name  _________________________________________________________

Address  _______________________________________________________

City  ________________________________     State  ______  ZIP  ________

Special Note:
Annual Giving Funds are not applicable to membership dues.
Your gift is tax deductible to the extent that is provided by law.
Please consult your tax advisor or consultant.

               Thank you for your contribution!

Other Giving Opportunities
Please check the appropriate category, and the Museum's Development Office will send you additional materials on these and other giving opportunities.

_____ Gifts of Appreciated Property
                    (These include fine art, manuscripts, and other collectibles.)

_____ Bequests

_____ Gifts of Securities

Matching Gifts:
 If your employer has a matching gift program, please be sure to enclose the proper forms so that you may take advantage of this way to multiply your gift dollars.

For additional information and to have your questions answered, please call the MNA Membership Manager at 928-774-5211, ext. 219, or via email.