Washington State Ski and Snowboard Museum · SECURE DONOR INFORMATION FORM

Donor Information

(WSSSM is a 501(c)3 non-profit) All donations will be acknowledged with a letter and a WSSSM Stylus Pen.

Name

*

First Name

Last Name

Spouse/Partner name

Organization/Company

Email

*

Phone

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Gift Information

Donation Method

*

Online

Check--mail to P. O. Box 1301, Mercer Island, WA 98040

Online Pledge amount

*

$5,000 - Silver

$2,500 - Bronze

$1,000 - Champion

$500 - Patron

$250 - Supporter

$100 - Friend

$

Online Pledge Schedule

Optionally end your recurring pledge on:

(mm/dd/yyyy)

For all options except "one time", the gift amount will be automatically charged each time your recurring gift is due

Mailing a check

Please make your check payable to: "Washington State Ski and Snowboard Museum" and mail it to:

WSSSM
P. O. Box 1301
Mercer Island, WA
98040

Amount of pledge

Would you like your offline pledge to be recurring?

No

Yes

How often would you like to be invoiced by mail?

*

Optionally end your recurring pledge on

(mm/dd/yy)

Current gift

Donor Wall recognition name

Is the gift in honor of someone?

*

No

Yes

Name of who the gift is in honor of

Is the gift in memory of someone?

*

No

Yes

Name of who the gift is in memory of

Is this gift eligible for corporate matching?

If yes, please email dave@wsssm.org with more info.

No

Yes

Primary WSSSM contact (if applicable)