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Print this form and mail it with your check or charge card information to
Explorit Science Center
Give a Hand Drive
P.O. Box 1288, Davis, CA 95617
YES! I want to Give Explorit a Hand!
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___ Gold Hand ($2,500)
___ Silver Hand ($1,000)
Additional: $__________
Total Pledged: $_______________ Date: ______________
Donor name:____________________________________________________
Street Address:__________________________________________________
City:______________________ State:____________ Zip:_______________
Phone: (______) ________________ E-mail (optional):______________________
Company/organization name (if applicable)_________________________________
Thank you! After we receive your pledge, we'll contact you for the wording
to be engraved on your hand plaque. Your message may be 40-60 characters
in length. For more information, please contact Allison Cagley, Development
Director, at 530-756-0191 or allison@explorit.org.
Payment options
____ One-time payment of full amount or
____ Installments over three years:
For installment payments, please send me invoices for (circle one)
annual or quarterly payments beginning the month of ______________.
Plaque will be hung after the final payment is received.
Payment method
_____ Check _____Visa Card _____ Master card
(This payment is for the: full amount / first installment)
____Check enclosed (payable to Explorit Science Center) $___________
Please charge $___________ to my card. Expiration date:_____________
Card No._____________________________________ 3-digit code________
Authorized Signature: ___________________________________