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Annual Fund
| Annual Fund Contribution or Pledge Form
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| Annual Fund Contribution or Pledge Form |
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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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