The Children's Museum

Capital Campaign Form

A Pledge for the Children's Museum Capital Campaign

Name: _________________________

Address: ________________________

Telephone Number: _________________

I want to help the Children's Museum, and I pledge the sum of _______________

which I will pay:

Annually ________ Semi-annually _________ Quarterly ___________

Beginning ___________________ and Ending ________________

Date_______________ Signature______________________

Make checks payable to:
The Children's Museum, Inc.
2 West Seventh Street
Bloomsburg, PA 17815
570-389-9206