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Tribute Bench Pledge Giving Form

Once your form is submitted, a museum staff member will contact you to discuss the engraved message and payment options.

Name

First Name

Last Name

Verify Email

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

What type of bench would you like?

I would like to reserve a backless bench: $10,000

I would like to to reserve a bench with a back: $15,000