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Annual Fund | Annual Fund Contribution or Pledge Form
Annual Fund Contribution or Pledge Form
Print this form out and fax or mail it to the address below:

Director of Development
Jack Stinedurf
Cleveland Museum of Art
11150 East Boulevard
Cleveland, OH 44106
Phone: 216-707-2484
email: jstinedurf@clevelandart.org

ANNUAL FUND CONTRIBUTION or PLEDGE

I wish to support the Cleveland Museum of Art!

Enclosed is my gift of:
o $500
o $250
o $125
o $50
o $Other ______________

o I pledge a gift of $__________ to be paid in ___________ installments before December 31 of this year.

Please bill me on the following dates: _______ ________ _______ ________.

_______________________________________________________
Name
_______________________________________________________
Address

_________________________ _______________ _____________
City State Zip

(____)________________________ ________________________
Phone                                                         Email

PAYMENT

Please charge my credit card:

o Visa
o MasterCard
o American Express
o Discover

_________________________________ __________________
Card Number Expiration date

Tell us about yourself

My areas of special interest are:

o 20th -century art
o American painting
o Asian art
o Conservation
o Decorative arts
o Education/Public programs
o Egyptian art
o Greek & Roman art
o Medieval art & armor
o Photography
o Prints & drawings
o Textiles
o Other ________

o I would like to learn how to include CMA in my estate plans. plannedgiving@clevelandart.org

Additional comments or questions:
______________________________________________

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