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Print this form out and fax or mail it to the address below:
Director of Development
Jack Stinedurf
Cleveland Museum of Art
11150 East Boulevard
Cleveland, OH 44106
Phone: 216-707-2484
email: jstinedurf@clevelandart.org
Annual Fund Contribution or Pledge
I wish to support the Cleveland Museum of Art!
Enclosed is my gift of:
[ ] $500
[ ] $250
[ ] $125
[ ] $50
[ ] $Other ______________
[ ] I pledge a gift of $__________ to be paid in _______
installments before December 31 of this year.
Please bill me on the following dates:
_______ ________ _______ ________.
___________________________________________
Name
___________________________________________
Address
___________________________________________
City State Zip
___________________________________________
Phone
___________________________________________
Email
PAYMENT
Please charge my credit card:
[ ] Visa
[ ] MasterCard
[ ] American Express
[ ] Discover
___________________________________________
Card Number Expiration date
Tell us about yourself
My areas of special interest are:
[ ] 20th -century art
[ ] American painting
[ ] Asian art
[ ] Conservation
[ ] Decorative arts
[ ] Education/Public programs
[ ] Egyptian art
[ ] Greek & Roman art
[ ] Medieval art & armor
[ ] Photography
[ ] Prints & drawings
[ ] Textiles
[ ] Other ________
[ ] I would like to learn how to include CMA in my estate
plans. plannedgiving@clevelandart.org
Additional comments or questions:
___________________________________________
___________________________________________
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