Ormond Memorial Art Museum & Gardens
Post-hurricane Restoration Fund Donation

 

Yes, I want to contribute to the Post-hurricane Restoration Fund for the Gardens at Ormond Memorial Art Museum and Gardens.  Checks and credit card information can be sent with this form.  Please do not send cash through the mail.  Cash donations can be accepted at the Museum during regular business hours.

Enclosed is my check number ________ in the amount $____________________

--  or  --

Bill my credit card:	O MasterCard	O Visa	O American Express
Card Number:	__________-__________-_________-_________-_________
Expiration Date:	____________ / ____________ (Month / Year)
Name on card:	____________________________________________ (Please Print)
Signature:	_____________________________________________________

Mail to OMAM, 78 E. Granada Blvd, Ormond Beach, FL 32176. 

Questions? Call (386) 676-3347
OMAM is a U.S. Code Title 26 Section 501(c)(3) non-profit organization,
registered with the State of Florida Department of Agriculture and Consumer Services.
Registration Number: SC07333.
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This web page was updated on 29-Sep-2004 05:44 PM -0500