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To print a smaller, one page donation form, click here Return one form with your Check to: IISOH -- P.O. Box 175 -- State College, PA 16804-0175 You may also pay online with a credit card at our secure webpage: Donate online here |
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Your Name: ____________________________________________________________________________ Address:_______________________________________________________________________________ City_____________________________State________Zip____________Country_______________________ Telephone__________________________________Email_________________________________________ _____CHARTER MEMBERSHIP ($25.00 Once in a lifetime). Check here to remain ANONYMOUS_____ _____IN MEMORY of ($25.00)__________________________________________________________________ _____IN HONOR of ($25.00)_____________________________________________________________________ |
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OTHER DONATION CHOICES:
___ IN MEMORY OF (a full page linked) $250.00 ___ IN HONOR OF (a full page linked) $250.00 ___ SUPPORTING Member.... $50 ___ BRONZE Member.... $100 ___ SILVER Member.... $250 ___ GOLD Member.... $500 ___ LIFETIME Member.... $1,000 |
MORE Donation Choices:
___ Contributor.... $5,000 ___ Friend.... $10,000 ___ Donor.... $25,000 ___ Sponsor.... $50,000 ___ Patron.... $100,000 ___ Benefactor.... $250,000 ___ Naming Opportunities.... $300,000 and up |
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Please send your Donation in US Dollars via: ___ Cash (via MONEYGRAM or Walmart to Walmart) ___ Check ___ Money Order ___ First National Bank lobby deposit (stop into FNB North Atherton Street, State College, PA., and ask the manager for assistance - make a deposit to our account directly at the counter).) ___ Bank Transfer/Bank Wire (please add an $18.00 bank fee that we must pay to receive the donation)* *NOTE: We accept credit cards online at Donate online here |