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Coolspring Power Museum

Contribution Form

For those wishing to contribute without applying for membership in the museum's
Friends Support Group


Company Name: ____________________________________

Phone: ______________________

Individual Name: ____________________________________

E-mail: ______________________

Street: ____________________________________


City: ____________________________________


State: ____________________________________


Country (if other than USA):   ____________________________  
ZIP code or International Code:  _________________________


Do you wish to have your contribution dedicated to a specific project or function at the museum?  If so, please identify that project or function here:


Amount of Contribution


Additional Amount for the General Operating Fund


Additional Amount for the M.A.N. Diesel Engine Fund


Additional Amount for the Endowment Fund


International Processing Fee*




Total Enclosed


Send with remittance to:

Norm Shade - Coolspring Power Museum Treasurer
4854 Tradewinds Drive
Port Clinton, OH 43452

The official registration and financial information of Coolspring Power Museum may be obtained from
 the Pennsylvania Department of State.  Registration does not imply endorsement.

*International Contributors: Please add a $15 fee to cover the fee our bank charges
to process your non-US$ checks.


Copyright by Coolspring Power Museum