| Gift Information |
I would like to make a tax-deductible gift to the Philadelphia Museum of Art. *Please note: the minimum amount required to purchase a book with an inscribed bookplate for the Library is $100.
$100* $250
$500
$1,000 $2,500 $5,000 $10,000
Other donation amount: $
Gifts over $500 will be recognized in the Museum’s quarterly publication, Developments.
Gifts over $1,000 will be recognized in the Museum’s Annual Report.
I would like to support the purchase of a book within the specific area of:
|
Bookplate Dedication: Please include your preferred text for your bookplate dedication. Example, Gift of Mr. and Mrs. John Smith in honor of Caroline North's birthday
|
Tribute & Acknowledgement Information
Please enter the name and address of the person you wish the Museum to notify of this gift, and the Museum will mail that individual a card. You will receive a separate acknowledgement and gift receipt. |
| Tribute: |
I'd like to make this donation |
| Acknowledgement Name: |
|
| Acknowledgement Address: |
|
| Personal Information |
| Title: |
|
Name:  |
|
| Phone: |
|
| E-mail: |
|
| Address: |
|
| City: |
|
| State/Province: |
|
| Zip/Postal Code: |
|
| Country: |
|
| Membership ID#: |
|
| Payment Information |
| Credit Card: |
|
| Expiration Date: |
|
| Credit Card #: |
(please enter without spaces or dashes) |
| Billing Information |
| |
If your billing information is the same as above, check this box. If not, please fill out the information below. |
| Address: |
|
| City: |
|
| State/Province: |
|
| Zip/Postal Code: |
|
| Country: |
|
| |
|
On View
