Surry County, Virginia, Historical Society and Museums, Inc.
Architectural Design by C & K Homes, Inc.
The Home of Surry County History
Gift Response Form for the Historical Society Building Fund
Yes, I/ We would like to support the construction of the Historical Society
Building with a tax deductible gift of
|__________ ||My/ Our check for this amount is enclosed.|
I/ We would like to make this gift over three years. My/ Our check for 1/3 of the gift
is enclosed. The second payment will be made in _____________, 2009. The final payment will be made in _____________, 2010.|
I/ We would like a pledge reminder sent to me/ us.|
I/ We would like this gift to be anonymous.|
I/ We would like to discuss the naming opportunities available with a Society
representative. Please call me at ____________________ or email me at __________________|
Checks should be made payable to The Surry Historical Society.
Please note on the memo line of the check "Building Fund" and send to:
The Surry County, Virginia, Historical Society and Museums, Inc.
P.O. Box 262
Surry, VA, 23883
Note: you can print this form from the File menu of your browser.
Pages updated 21 March 2013. © Surry County,
Virginia, Historical Society and Museums, Inc.