ANG: American Needlepoint Guild - Donation Form

Mail-In Donation Form

Please print out this form and use it when mailing monetary contributions to ANG. Please mail the filled-out form and your gift to:

ANG Treasurer
760 17th St
Rock Island, IL 61201

Please accept my tax-deductible contribution of $_______________in the form of (check one):

 ______  Check drawn on US Bank Enclosed (Please make payable to ANG, Inc.)
 ______  Money Order in US dollars Enclosed
 ______  VISA or MasterCard

 

Card information:
Number  _________________________________________  Expiration  _____/_____(mm/yy)

Your signature__________________________________________________________

Please designate my donation for (check one):

______ Memorial Fund
______ Endowment Fund
______ Teaching Excellence Fund
______ Founders Fund Award
______ Other, please specify___________________________________________________________________
___________________________________________________________________________________________

Your contact information:

Name   _________________________________________________________________ 
Address  ________________________________________________________________
________________________________________________________________________ 
City___________________________ State________________  Zip   _______________ 
Email address ____________________________________________________ 

My gift is made:

In memory of  ___________________________________________________________
_______________________________________________________________________ 

In honor of ______________________________________________________________

For the occasion of _______________________________________________________                           

Please notify:

Name ____________________________________________________________________ 
Address___________________________________________________________________
 _________________________________________________________________________
City _______________________________________  State ____________ Zip _________    

ANG thanks you for your generosity.

The personal information you supply on this form is kept private by ANG
and is not shared with third parties. If you have questions about this form
or about making donations, please email Treasurer@needlepoint.org.