Name ______________________________
Amount of Donation* _________________
*Donations of $75.00 or more will be recognized on plaque.
I wish to be recognized for my donation of $75.00 or more: Yes No
I would like to sponsor:
Museum Office & Supply Room _____
Medical Supply Room _____
Display Hallway_____
Any of the Above Rooms _____
Name of Donor:______________________$25.00 For Star
Name to appear on Star:____________________________
If name on Star is on behalf of US Service Member, indicate the War they fought in.______________________________
If they served during the time when there was no war going on, list their branch and dates of service._________ ____________