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East Wing Restoration Form


Name ______________________________

Amount of Donation* _________________

*Donations of $75.00 or more will be recognized on plaque.

I wish to be recognized for my donation of $75.00 or more:  Yes   No

I would like to sponsor:

Museum Office & Supply Room _____

                Medical Supply Room _____

                          Display Hallway_____

           Any of the Above Rooms _____