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Please print this form, and forward the completed form to:

Texas Forestry Museum
1905 Atkinson Drive
Lufkin, TX 75901-2505

I would like to make a Gift to the Texas Forestry Museum.

button checkmark     IN MEMORY                           button checkmark    IN HONOR

OF: ________________________________________ (name)

Please send acknowledgement of my gift to:
____________________________________________ (name)
____________________________________________ (address)
____________________________________________
____________________________________________

PERSONAL INFORMATION


YOUR NAME


ADDRESS


CITY                                                              STATE                                                         ZIP


PHONE                                                         

button checkmark   Enclosed please find my check in the amount of $ _______

button checkmark   Please charge my credit card in the amount of $ _______

button checkmark   VISA   button checkmark   MasterCard    button checkmark   Discover

Card # ___________________________________________       Exp Date ____________

Signature ________________________________________

Memorial or Honorarium Gifts made to the Texas Forestry Museum
are invested in the Museum's Endowment, unless otherwise designated.