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Please print this form, fill in the information and FAX to 402-746-2652 or mail to:
Willa Cather Pioneer Memorial
413 North Webster Street
Red Cloud, NE 68970
You may also make your pledge by phone with a credit card at 402-746-2653 or 1-866-731-7304.
Your gift will desginated for the purposes of preservation. If you prefer to support a specific fund, please contact Jan Offner at the number above.
Contact Information
The Cather Foundation will not share your personal information with anyone.
Name:____________________________________________________
Address:__________________________________________________
City:__________________________State/Province:_________
Zip/Postal Code:________________Country:______________
E-Mail:___________________Phone:_____________________
Pledge Level
____ $50 - Your support is greatly appreciated.
____ $100 - Your support is greatly appreciated.
____ $250 - Your support is greatly appreciated.
____ $500 - Your name will appear on the donor plaque in the Opera House Lobby.
____ $1000 - Your name will appear on the donor plaque in the Opera House Lobby.
____ $2500 - Your name will appear on the donor plaque in the Opera House Lobby.
____ $5000 - Your name will appear on the Mildred R. Bennett Donor Wall.
Other $____
Payment Information
Please include a personal check made payable to "Cather Foundation " or include your credit card information.
____My gift of $______ is enclosed.
____Please charge my credit card.
Circle one: VISA / MASTERCARD Exp. Date: __ __ / __ __
Credit Card # ________-________-________-________
Name as it appears on the card_______________________________
Signature_______________________________________________
Thank you for your support! |