Surry County, Virginia, Historical Society and Museums, Inc. - Gift Form Surry County Virginia Historical Society and Museums, Inc.
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Surry County, Virginia, Historical Society and Museums, Inc.
P. O. Box 262, Surry, VA 23883   Phone (757) 294-0404
E-mail address: [email protected].
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Yes! I would like to give a gift to
the Surry County, Virginia, Historical Society and Museums, Inc.
  • I designate my gift for ___________________________________________________

    Designated funds are reserved for the purpose you select. Some examples are:
    Captain John Smith Ferry Deck Restoration, Rogers Store Expenses, Society's Office Building Expenses.

  • My gift is undesignated ___________________________________________________

  • Please call me at ______________________________ to discuss these gifts.

Gift Amount $__________________________________

Name __________________________________________

Address _______________________________________

______________________________________________

Comments ______________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Please make checks payable to: The Surry County, Virginia, Historical Society

and mail to P. 0. Box 262, Surry, Virginia 23883.

You can print this form with the Print command in your web browser's File menu. Look in the upper left corner of your browser screen (Firefox or Internet Explorer) in the "File" menu for the "Print" command. We are also happy to receive your donation in any other form you choose!

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