Donation Form

If you would like a donation reciept please print and return this form

                                           Lane County Historical Society

                                                             Donation Page


Below please check the type of donation you wish to donate to and the amount.



Memorial Day $__________________ 

            

Friends of the Museum $____________________   


Building Fund $_______________________        


Memorial $_________________________  


General $__________________________



Name: ______________________________________________________________________________



Address: ___________________________________________________________________________



City: _____________________________________________     State: _________________________



Zip: __________________       Telephone: ______________________________________________



Email: _____________________________________________________________________________

 

Help Our Cause

If you wish to have a donation receipt sent for your records, print, fill out and send to address on home page. If you do not want a receipt  please fill out information on the PayPal page as to which fund you are donating to.  Thank you for your donation.

Pay with PayPal or a debit/credit card