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2023 Chamberlain Legacy Lecture Patron Form

Help underwrite event expenses, support the care and maintenance of the museum, and honor the legacy of an American icon.

Amount

$1,000 - SCULPTOR PATRON: 8 tickets, dinner for 2 with Kevin Levin, priority seating, listings in program media, annual report, and PHC website.

$500 - FOUNDATION PATRON: 6 tickets, priority seating, listings in program media, annual report, and PHC website.

$250 - MODEL PATRON: 4 tickets, listings in program media, annual report, and PHC website.

$100 - PEDESTAL PATRON: 2 tickets, listings in program media, annual report, and PHC website.

Contact Information

Name

First Name

Last Name

Phone

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Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Additional Guest Names (if known)

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