Archives Partnership Trust
Make a Donation Form
to the Archives Partneship Trust Annual Appeal!
My information:
| Name: |
___________________________________________ |
| Address: |
___________________________________________ |
| City: |
___________________________________________ |
| State: |
___________________________________________ |
| Zip: |
___________________________________________ |
| Phone (Day): |
___________________________________________ |
| Phone (Evening): |
___________________________________________ |
| Email |
___________________________________________ |
| Gift Amount: | |||||
|
|||||
| ______ | |||||
PAYMENT INFORMATION:
| Annual Appeal: | $______________ |
| Total: | $______________ |
made payable to the Archives Partnership
Trust.
| ACCOUNT
NUMBER: |
________________________________ |
| EXPIRATION DATE: |
________________________________ |
| CVV
# (last 3 digits on card's signature line or, for AmEx, the
4 digits above card # ): |
________________________________ |
| SIGNATURE: |
________________________________ |
Occasionally we share our mailing list with other non-profit cultural
organizations. If you prefer not to receive such mailings, please
check the box.
| Print and mail this form to: | Or fax form to: |
| Archives Partnership Trust Cultural Education Center, Suite 9C49 Albany, NY 12230 |
518-473-7058 |

