Foundation gifts

I/We wish to help keep Nebraska's historical spirit alive with a gift of:

$______________($1,000+) Benefactor $______________($500-999) Patron

$______________($250-499) Sustainer $______________($100-249) Donor

$______________(up to $100) Contributor $______________ Other

___ My / Our check is enclosed for $____________. (Please make checks payable to NSHS Foundation.)

___ I / We will fulfill our gift commitment by June 30, 200___. Please send reminders in the months circled:

January February March April May June

___ Charge my/our ___ MasterCard ___ VISA Card # ________________________

Exp. date ________________ Signature _________________________________
(an expiration date and signature are required for all credit card charges)

Name: ____________________________________________ Phone: ( ) ________________

Address: _______________________________ City: _______________ State: ___ Zip: ________

Please use my/our gift to assist:

____ Area of Greatest Need

____ Archeology

____ Conservation

____ Historic Preservation

____ Library / Archives

____ Museum / Historic Sites

____ Research & Publications

____ Nebr. History Project Endowment

____ Foundation's Endowment: (ensuring ongoing support)

Please send information on how to:

____ Give appreciated property / securities and avoid capital gains taxes.

____ Make gift arrangements in my will or with life insurance.

____ Recieve tax savings and income for life through a deferred gift.

This gift is given in memory of:

___________________________________________

Please notify: ________________________________

Address: ____________________________________

________________________________________

Gifts made to the NSHS Foundation, a nonprofit, 501(c)(3) organization, are tax deductible according to I.R.S. regulation. NSHS foundation's fiscal year is July 1, (2006) to June 30, (2007). For more information, contact: Nebraska State Historical Society Foundation, 128 North 13th Street, #1010; Lincoln, NE 68508 (Telephone: 402-435-3535). E-mail:

http://www.nebraskahistory.org/foundatn/giftform.htm

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