The Institute of Historical Survey Foundation

 

Name:__________________________________________________________

Field of Interest:________________________________________________

Mailing Address:_______________________________________________

City_________________________________ State_______ Zip Code_________

E-mail:________________________________________________________

Phone:_________________________________________________________

I wish to support the IHSF Archive, Library, Museum & Endowment:
__Enclosed is my gift of____________________________________
__Please charge my credit card $____________________________
__Visa __M/C __AmEx __Discover
Card #______________________________Exp:__________________
Signature:________________________________________________
__Please contact me about other giving opportunities.
Other:__________________________________________________________

(Receipt will be sent to the address above.)

We thank you for your support.
Your contribution is tax-deductible.
Please mail this form and/or your check to:

IHSF
P.O. Box 36
Mesilla Park, NM 88047

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