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***NOTE*** Fundraiser contributions such as for the "April Shower" or other financial gifts may be made in this section. Please specify the amount you wish to give by checking one of the "Membership Levels" and then completing the rest of the form. Thank you!

Membership Levels

Friend — $25.00	Supporting — $50.00
Centennial — $100.00	Sustaining — $250.00
Patron — $500.00	Millennium — $1,000.00
Benefactor — $2,500.00	Curator — $5,000.00

Additional Donations & In Memoriam

C.R. Anthony Enodowment Fund
Building Fund
A Memorial fund contribution of…
…in memory/honor of

Total Tax-deductible Contribution: $0.00

Contact Information

Name ^*
Address ^* Line 2
City ^*
State: ^*
Zip ^*
Phone
Email ^*

Payment Information

Name on Card ^*: Name exactly as it appears on card
Credit Card Type ^*
Credit Card Number ^*
Expiration Date ^*: /
Security Code ^*: Verification number of the back of your card

Seminole Nation Museum

Total Tax-deductible Contribution: $0.00

Total Tax-deductible Contribution: $0.00

The Seminole Nation Historical Society is non-profit 501(c)(3) charitable organization and contributions are tax deductible as allowed by law.

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