Annual Fund Donation Form

* required information
Donate Now to the Grand Rapids Art Museum

Select Gift Frequency
I would like to make a one-time gift for the following amount:
:* $
I would like to make a recurring gift.
Gift Amount* # of Payments Payment Frequency Total Gift Amount
$ X = $
NOTE: This transaction will count as the first payment toward your total gift amount.
Donor Information
First Name:*
Last Name:*
Company Name:
Job Title:
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:
Business Phone:
Payment Information
Payment Method
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:*
:*   Explain
Credit Card Type:*
                  
Credit Card Expiration:*
Billing Information
If the billing information is the same as the contact information check this box.
If not please fill out the information below:
:*
:
:*
State:
:
:*
Country:*
Additional Information (Optional)
Name recognition will appear as:
Tribute Gift Information:
Tribute Recipient Name:
Send Tribute Acknowledgement To (Name and Address):
Special Notes:
Special Comments or Notes:
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