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Albuquerque Historical Society Tricentennial Project Campaign
Donor/Sponsor Form 

Name:
Institution/Agency/Association (if appropriate):
Address:
City/State:
Telephone:
E-mail: 

Please print preferred listing as a donor/sponsor:



(Optional, please print) In Honor of: 
 

(Optional, please print) In Memory of:  
 

Please circle 3 presentation themes where you would like to be cited as a sponsor and we
will include you as scheduling best permits: 

Heritage            Museums          Visual Arts       Dance  Music   Agriculture          Cuisine
Architecture       Sports              Science            Technology                   Festival of Lights
Natural History                          Authors            Theatre Arts     History            Education  

Checks should be made payable to “The Albuquerque Historical Society” (a 501 (c) (3), a
non-profit organization) and sent to this mailing address: 

Albuquerque Historical Society
P. O. Box  20568
Albuquerque, New Mexico 87154-0568 

For any further information, please contact the following: 

Jan Dodson Barnhart    or                     Janet Saiers     or                  Steve Eagan
505.271-0727                                      299-0519                             889-3774
President                                              Vice-President                       Treasurer
TPKPerson@aol.com                           jsaiers@msn.com                  steagan@hotmail.com 

Check Number:   __________
Check Amount:   __________
Date:                   __________