Donation Information

Please complete the form below and click on "Submit Donation" to make your tax-deductible donation.

To submit this form, all "*" fields must be filled in.

I don't want to just donate, I want to become a Member!

Amount to Donate $*

Salutation

First Name*

Last Name*

Address*

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Phone*

Email*

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Payment Info

Matching Gifts

My company will match my gift

Yes--I will contact my HR department for a Matching Gift Form and forward it to niet@rockwellmuseum.org

Company

Acknowledgement

How would like to be listed in our annual report? (For example, Mr. & Mrs. Joe Smith)

Name(s) to acknowledge

I would like this donation to remain anonymous

Dedication Acknowledgment Information

Dedication Type

Dedication Honoree Name

Personal note to be included with donation

Please notify the following person of this gift

Acknowledge by

First Name

Last Name

Address

Other Ways to Give

Make a Recurring Donation

Become a Sponsor

Become a Member

Give by Phone

You can make a gift by calling: (607) 974-7063

Give by Mail

You can also give by printing this form and mailing to:

The Rockwell Museum

Attn: Taryn Nie

111 Cedar St.

Corning, NY 14830