Timberlane Farm Museum - Donation Form

Timberlane Farm Museum Donation Form

Timberlane Farm is a 501(c)(3) Non-profit Organization. Your donation may be deducted from your income tax as a charitable contribution. If you wish to make a monetary donation, please fill out this form and include it with your check or money order, and send it to P.O. Box 7456, Loveland, CO 80539. If you have a material donation, contact us to let us know the details of the item(s) you wish to give.

Name _________________________________________________

Street _________________________________________________

City _________________________ State _____ Zip __________

Phone (_____)__________________________________________

E-mail ________________________________________________

At What Level Do You

Wish to Contribute?

___ $25 ___ $500

___ $50 ___ $1000

___ $100 ___ Other:

$ ________