Yes! I want to donate to the Dallas Heritage Village



I am making a gift in the amount of: $

If you are making a donation of $60 or more, consider
becoming a Member of Dallas Heritage Village.

Name:
 (as it appears on your credit card)

Street Address:
 (street address)
 (address cont.)
, AK AL AR AZ CA CO CT DC DE FL GA HA IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY    (city, state & zip)

Phone:


Email Address:


I would like to recieve Dallas Heritage Village's monthly newsletter.

Credit Card #:
 
(American Express, Master Card, or Visa)

Expiration Date:  Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Credit Card Verification #:
	What is this number?
		Visa/Mastercard	American Express
For your own shopping security, we ask you to provide a Credit Card Verification Number (CVN). Without this number, we are unable to process your gift. If the number is not available, please use another credit card for this donation.

Comments:






Tax Information: Dallas Heritage Village/Dallas County Heritage Society is a tax exempt organization under section 501 (c) (3) of the Internal Revenue Code.

Please contact Nancy Farina, Vice President of Development and Capital Giving, at 214-413-3662 if you have any questions or problems regarding your donation.

If you are sending a check to Dallas Heritage Village…



Please make your check payable to: Dallas Heritage Village

Send checks to:
Dallas Heritage Village
1515 S. Harwood Street
Dallas, TX 75215-1273