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Enclosed is my Tribute Gift of $_____________________________
Please Circle One:
In Memory of
In Honor of
On the Occasion of ______________________________________________
Please direct this gift to Bellingrath Gardens and Home’s (please circle one):
Endowment Fund
Operating Fund
Tribute Wording: ___________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Please send gift acknowledgement* to:
Name: ______________________________________________
Address: ______________________________________________
City: ______________________________________________State:__________ Zip:__________
* Amount will not be disclosed.
This Tribute Gift is from:
Name: ______________________________________________
Address: ______________________________________________
City: ______________________________________________State:__________ Zip:__________
Telephone: ______________________________________________
Email:______________________________________________
Method of Payment:
Check (Made payable to Bellingrath Gardens and Home)
Visa
Mastercard
American Express
Mastercard
Card Number: ______________________________________________
Exp. Date: ______________________________________________
Signature: ______________________________________________
Please complete form and send payment to:
Membership Office
Bellingrath Gardens and Home
12401 Bellingrath Gardens Road
Theodore, Alabama 36582
251.973.2217 extension 165
Fax: 251.973.0540
www.bellingrath.org
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