|New England Electric Railway Historical Society
SEASHORE TROLLEY MUSEUM
Donation Form - Town House Shop Improvements, Fund 996
Name - Please Print clearly: ______________________________________________________
Membership Number (if applicable): ___________________
Mailing Address: _____________________________________ Telephone: _________________
City, State, Zip: _________________________________________________________________
Email Address: _________________________________________________________________
Enclosed is my donation in the amount of $________________ for
________________Town House Shop Improvements - Fund 996______________
Purpose (i.e. Endowment Fund, General Fund, Carbarns, or a specific car in the collection)
|I prefer to pay with:||[__] Check||[__] Charge Card, Type (Please circle): AMEX - MC - VISA - DISC|
|[__] Money Order|
Card/Check #: _____________________________ Exp. Date: ___/______ Verification #: _________
- The verification number is a 3 or 4 digit number usually found on the back towards the right side of the signature box.
Please make checks payable to the "New England Electric Railway Historical Society"
Donations to the NEERHS are tax deductable under Section 501(c)(3) of the Internal Revenue Code.
Please mail this completed donation form to:
Seashore Trolley Museum
P.O. Box A
Kennebunkport, ME 04046-1690
|Thank you for your generous support of the Seashore Trolley Museum.|