Contact Information (*required)
First Name
Last Name
Company
Email
Phone ( ) -
Address
 
City
State
Zip Code
Levels of Support Pledge Levels  
 1 Star ~ $1,000 < $5,000
 2 Star ~ $5,000 < $10,000
 3 Star ~ $10,000 < $25,000
 4 Star ~ $25,000 < $50,000
 Semper Fidelis Circle ~ $50,000 >
N/A    Min Down
 2 Star                   ~$1,000
 3 Star                   ~$2,000
 4 Star                   ~$5,000
 Semper Fi Cir  ~$10,000
(Minimum 20%
Down pmt.)

(20% each year
there after)

Instructions: Print Name and Information in boxes provided below.
Letters, Abbreviations, Punctuation, Spaces all count as character spaces. Maximum 36 characters per line.

 
 
Donation Amount
1 Star 2 Stars 3 Stars 4 Stars Semper Fi Cir  
$1000 $5000 $10000 $25000 $50000 Other
$
Method of Payment
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Card Expiration / (MM/YY)
Card Security Code
Comments or Questions
Please enter comments or questions.
If mailing a personal check, print order form and mail to:

MCRD Museum Historical Society - Donations
P. O. Box 400085
Marine Corps Recruit Depot
San Diego, CA 92140-0085

Make checks payable to: MCRD MUSEUM HISTORICAL SOCIETY