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pledge form

Studebaker National Museum
SAVE AMERICA'S TREASURES Campaign
Pledge Form

click here for a FlashPaper Printable formclick here for to open an Adobe Acrobat *pdf

............................................................................................................................
I/We want to support the SAVING OF AMERICA'S STUDEBAKER TREASURES with a Pledge

or Contribution totaling $_________________.


□     Enclosed is a check for the full amount.
□     Enclosed is my/our first pledge payment of $                                     .
□     My/Our pledge will be paid in                    installment(s) over                (up to 5 years) 

             beginning                                                                                          .
                                             Month                                          Year
□     Please send me/us regular reminders beginning                                           as follows:
            
Annually                         Semi-Annually                      Quarterly

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□    Check
□    Visa                                         #                                                                    exp.
                          

        Mastercard                              #                                                                    Exp.                           

        American Express                    #                                                                    Exp.                           

        Signature:                                                                                                                                            

Additional Information/instructions:                                                                                              _


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I/We consider it a moral obligation to honor this commitment; however, I/we reserve the right
to modify or cancel it in the event of unforeseen circumstances.



Name(s)/Title(s):                                                                                                                             _


Organization:                                                                                                                                       

Address:                                                                                                                                               

City:                                                                                      State:               ____ Zip:                       
 
Signature(s):                                                                                                                                          

Name(s) as you would like it to Appear:                                                                                        

Your gift is tax deductible. 

Please make checks payable to and mail this form to:
SNM Save America's Treasures Campaign
201 S. Chapin St.
South Bend, IN  46601


For additional information, please call Rebecca Bonham at 574.235.9714

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