International Women's Air & Space Museum

Become an Exhibit Donor!

The International Women’s Air & Space Museum is mounting a permanent exhibit honoring the Mercury 13.  The exhibit is scheduled to open in Fall, 2006.

Help us pay tribute to these extraordinary women by becoming an exhibit donor.

Benefits include:

• Your name (up to 24 characters) on the permanent donor recognition wall.
• A certificate of participation from the International Women’s Air & Space Museum.
• Limited edition donor coffee mug with exhibit logo.

Cost:  $75 per block

Print this form, fill it out and mail it to:

International Women's Air & Space Museum, 1501 N. Marginal Rd., Cleveland, OH 44114

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Name of donor:                                                                               

Address:                                                                                           

City, State, Zip:                                                                                  

Telephone:                                  Email:                                              

Form of Payment:       Cash          Check (payable to IWASM)         (MC/Visa) circle one

Credit card #                                                                               Exp. Date                       

Name as it appears on the credit card:                                                                      

Name as it will appear on the donor wall:

Return to: IWASM, 1501 N. Marginal Rd., Rm. 165, Cleveland, OH 44114