Name: __________________________
Address: __________________________________________
City: _____________ State: ___ Zip: ____ Phone:
______________________
E-mail: ___________________________________________
My Gift Amount is: ___ $2.00 each month ___ $24.00 annual donation ___ Other: $_________
We do not currently accept credit cards for online donations. Please make your contribution in the form of cash, check or money order. Thank you.
Please recognize my gift:
In Honor Of: ____________________________ In Memory Of: _______________________________
Please send an announcement of my honorary/memorial gift to:
Name: ___________________________________________________
Address: _________________________________________________
City: ______________ State: ___________ Zip: _____________
Include my name as the donor _____________________________ (name as you would like it to appear)
Please send me a receipt for my donation ___ by U.S. Mail ___ by e-mail
Please add me to the Historic St. Mary's Mission, Inc. mailing list for special events and newsletters.
____ Send notices to my mailing address _____ Send notices to my e-mail address
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Mail completed form and donation to: Historic St. Mary's Mission
P. O. Box 211
Stevensville, Montana 59870
Contributions to Historic St. Mary's Mission, Inc. are tax deductible under IRS Code 501 (c) (3) and are used to support restoration of the historic buildings and educational programs.