Nathan Manilow Sculpture Park Donation and Events Registration Form


Name on Credit Card if different:

Home Address:

City State ZIP Code:


Phone Type:  


Company Name:


Company Address:  


 My Employer may match this gift:  

 I wish to contribute to the Nathan Manilow Sculpture Park as designated below:

$ NMSP General Fund (Pathfinder Wanderers & Partners)

$ Bill Dodd Memorial Prairie Restoration Fund     

$ Masterpiece Model Workshop ($25.00 each)

$ Other

$  Tribute Gift in Memory or Honor of:  

Please send Tribute Donation acknowledgement to:

 Name: Address:

Event Registration:

 I wish to register for the Sculpture Wine and Dine Event on September 9, 2017

 Number of tickets at $125 per person

Name(s) of Attendee(s)

Total Amount: $ 


Please make my gift Anonymous


Once you hit "submit" below, you will be redirected to the Governors State University Foundation on-line donation form through, our on-line secure payment provider.  Here you may purchase tickets and/or make a donation.  Any questions please call (708) 235-7559. Thank you.