A Top Rated Pioneer Museum ~

Weber County DUP Museum

INSTRUCTIONS


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:

  • Fill out the form and mail the form and the payment in the form of a check, money order, or cashiers check to the DUP at P. O. Box 3226, Ogden, UT  84409
  • Fill out the form, pay for your donation using one of the payment methods below and email the form to info@weberdupmuseum.org or mail the form to the DUP at P. O. Box 3226, Ogden, UT  84409