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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Pages updated 20 May 2019. © Surry County, Virginia,
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