Print this form and then mail completed to: Woodlawn Museum, Membership, P.O. Box 1478 Ellsworth, ME 04605 Help ensure Woodlawn's role as a historical, educational, and recreational resource for the community! Your contribution to the Annual Appeal provides funds for the day-to-day general operations, supports the museum's ongoing programs and activities, and helps to ensure the preservation of its priceless collections and buildings. Enclosed is my donation of $_____________ for the current Annual Appeal I agree to pledge $_____________ for the current Annual Appeal Please charge this gift to my Visa _____ MC______ Account No.____________________ Exp. Date. ____________________ Signature ___________________________________________ Name: __________________________________ Address: _________________________________ Phone: _______________________ City: ____________________________ State: __________ Zip: ________________ Contributions totaling $1000 or more qualify you for enrollment in the Col. John Black Society, with special programs and activities just for this group. In addition to this Annual Appeal gift, I also wish to enclose ______ for Membership dues at the following level: $35 (Individual) ______, $50 (Household)_________, or $125 (Supporter) ______Level. Please make your check payable to Woodlawn Museum. Please contact the office at 207/667-8671 for gifts of stocks or bonds. Contributions are tax deductible to the extent allowed by law. If your company has a matching gift program, your contribution to the Annual Appeal may doubled or even tripled with no further cost to you. Ask your company's personnel office for a matching gift form. Complete and send it along with your gift in this envelope. Return to Home Page