Nathan Manilow Sculpture Park Donation and Events Registration Form

Name:  

Name on Credit Card if different:

Home Address:

City State ZIP Code:

Phone:  

Phone Type:  

 Email:

Company Name:

Title:

Company Address:  

Donation:

 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 Authorize.net, 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.