Print off this form and fill in the information requested. If you have any questions, please call the Museum.
Please use this form when making a Memorial Donation in honor of a deceased daughter. A donation of any amount can be made. For a donation of $100.00 or more, the name of the daughter for whom the memorial donation is made will be placed on a plaque that is kept in the Weber County DUP Museum. If a camp would like to donate an amount (for example $35.00) they could ask the family if they would like to donate the remaining amount to add up to $100.00 in order to place the daughter’s name on the plaque.
Memorial donation made in the name of:_______________________________________________________________________________________ REGISTRATION NUMBER:__________________________________ Date of death:_____________________________________________ She was a member of CAMP:_________________________________________ COMPANY:_______________________________________ In her memory we are enclosing a donation in the amount of $_____________________________ Please send an acknowledgement to the donor listed below:
DONATION IS FROM: NAME:________________________________________________________________________ (Name of person or group making donation)
C/O:___________________________________________________________________________ (Name of person to whom acknowledgement is to be sent) ADDRESS_______________________________________________________________________ CITY:______________________________________ STATE:_____________ ZIP:______________ FAMILY OF DECEASED: NAME:_________________________________________________________________________ ADDRESS:_______________________________________________________________________ CITY:____________________________________ STATE:________________ZIP:_____________ SIGNATURE of person submitting form:________________________________________________ Phone:________________________
To make your donation, you can do one of the following:
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