“Your Remembrance Program”
Part of the Antique Gas & Steam Engine Museum’s Endowment Fund
Ø Provides members and friends of the Museum a way to recognize or honor individuals who are or have been important in their lives and to the Museum.
Ø All donations made are placed in the Museum’s Endowment Fund with only the interest generated being used to support the Mission of the Museum.
Ø Those being recognized or honored and their donors will have their names permanently inscribed in a “Remembrance Book” on display in the Museum Office; names listed in The Ignitor and will receive a recognition card.
Ø The amount of all donations will be kept in the strictest confidence unless instructed by the donor.
All
donations are tax Deductible
Yes, I want to strengthen the Museum’s Endowment Fund by making a tax-deductible gift:
___ In Memory of: ___ In Honor of: _______________________________________________________
Reason for Gift: _____________________________________________________________________
Donor Information:
Name(s): ________________________________ Address: ___________________________________
City: _______________________ State: _____ Zip: _________ Phone: __________________________
Please send a recognition card to: ___ Same as Above
Name(s): ________________________________ Address: ___________________________________
City: ________________________________ State: _______ Zip: ___________
Enclosed is my check for the Amount of:
___ $25 ___$50 ___$100 ___ Other $_____
Please charge my credit card in the above state amount:
___ Visa ___ Master Card ___ American Express
Card #: ________________________________ Exp Date: _______ Signature: ______________________
Return to: AGSEM 2040 N. Santa Fe Ave., Vista, CA 92083
