Fort Ticonderoga Membership: Annual Fund Form

Fort Ticonderoga Annual Fund

Yes! I/We strongly support the education and historic preservation efforts at Fort Ticonderoga.

Name:	__________________________________
Address:	__________________________________
City:	__________________________________
State:	____
Zip	_________
Phone:	_____________

Enclosed is a gift toward the Annual Fund in the amount of:
(check one)

1	$5,000
1	$1,000
1	$500
1	$250
1	$100
1	$50
1	Other: $

Please Bill
(check one)

1	Visa
1	MasterCard
1	Check
1	My company sponsors a matching gift program, please contact me
1	I'd like to contribute via a planned gift, please contact me

Credit Card Info

Card #: _____ _____ _____ _____ Expiration (month/year): ___/___

Signature: ____________________________________________________

Or Make Checks Payable to Fort Ticonderoga

Thank you!

Forms should be printed and mailed to :

Fort Ticonderoga
P.O. Box 390
Ticonderoga, NY 12883
(518) 585-2121, ex. 22

anne@fort-ticonderoga.org

Fort Ticonderoga is a private, not-for-profit educational institution open to the public since 1909. Contributions are tax-deductible to the extent allowed by law.