Please print this form and fill it out.  Fax the completed form to (760) 375-0479 or mail it to:

Maturango Museum Building Fund

                        100 E. Las Flores Ave.

                        Ridgecrest, CA 93555

MATURANGO MUSEUM BUILDING FUND

CAMPAIGN DONATION CARD

Name__________________________________________

Address________________________________________

              ________________________________________

Phone_______________       email___________________

I (we) would like to pledge as follows:

            ____ Builder’s Club Member at the Visionary Level of $10,000+

            ____ Builder’s Club Member at the Pacesetter Level of $5,000+

            ____ Builder’s Club Member at the Partner Level of $2,500+

            ____ Associate at the $_____ level ($1,000+)

I (we) would like my pledge to be payable over a _____ year time-period

I (we) would like to pay as follows:

____ Annually

____ Quarterly

____ Monthly

____ I (we) would like information on a monthly withholding donation          

I (we) would like to make a one time donation of

____$500        ____$250        ____ Other. Please specify _______________________

METHOD OF PAYMENT: CREDIT CARD (VISA OR MASTERCARD)  (or you may phone this info to us)

CREDIT CARD # _________________________________EXPIRATION DATE___-____

Signature _________________________________

or - CHECK enclosed - amount $____________ Number ______

Thank you for your support.  Working together we can move the Museum into its next 50+ years.