Please complete the form below and click on "Submit Donation" to make your tax-deductible donation to the Kristin A. Swain Student Fund. This fund underwrites free admission for all students of Corning Community College. 


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

Amount to Donate $*

Salutation Mr. Ms. Mrs. Mx. Dr. Prof. Hon. Rev. Col.

First Name*

Last Name*

Address*

City*

State* UNITED STATES Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming CANADA Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

Zip*

Phone*

Email*

Confirm Email*

Please sign me up for your e-newsletter

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 smithb@rockwellmuseum.org

No

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 in honor in memory on behalf

Dedication Honoree Name

Personal note to be included with donation

Please notify the following person of this gift

Acknowledge by Email Mail None

First Name

Last Name

Address

Email