Yes, I want to Support
The Center for Nursing Historical Inquiry.
Enclosed is my check for $_________
I would like to contribute to The Center:
_______Friends of the Center (up to $49)
_______Center Supporter ($50-$99)
_______Roy Beazley Society ($100-$249)
_______Phoebe Pember Society ($250-$499)
_______Agnes Dillon Randolph Society ($500 and above)
Name___________________________________________________
Address_________________________________________________
City___________________________State_______Zip____________
_______My employer or my spouse's employer, ________________________,
will match this gift, and I am enclosing the company's matching gift form.
_______Please send more information about donating papers, artifacts, or collections.
| Mail your tax-deductible contribution to: |
The Center for Nursing Historical Inquiry
University of Virginia School of Nursing
P.O. Box 400807
Charlottesville, VA 22907-4807
|
Thank you for your support! | 