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Lincoln Statue Donation Form

To honor Lincoln’s promise, the American Veterans Heritage Center (AVHC) along with support from the Lincoln Society of Dayton, are raising funds to erect a bronze statue of President Abraham Lincoln on the grounds of the Dayton Veterans Affairs Medical Center Campus. Lincoln will be seated, with pen in hand, and the legislation he just signed in front of him. His expression will be one of reflection as he considers the importance of the services our veterans would receive for countless years into the future.

Note: For donations greater than $1,000, please use our letter of intent form and call us for any questions.

Amount

$1,000 - Representative

$500 - Ambassador

$100 - Friends of Lincoln

Donation Schedule

Continue donating until

(mm/dd/yyyy)

Contact Information

Name

First Name

Last Name

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

If donating $500 or more, my/our name(s) on the plaque at the statue site should read:

Add 3% to my total amount to help cover the payment processing fees