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