USS SLATER DE766   WINTER FUND DONATION

Enclosed is my contribution to the WINTER FUND in the amount of $_____________.

Donor's Information:

Name:___________________________________ Phone:___________________________

Spouse's Name: ___________________ E-Mail: __________________________________

Address: __________________________________________________________________

City: __________________________ State: ________________ Zip: __________________

Military Service Branch, if applicable: ___________ Period: ___________________________

If DE/APD Sailor, Ship's Name/Number: __________________________________________

Payment by:

o Check enclosed, made payable to Destroyer Escort Historical Museum (DEHM)

o Credit Card            

Visa/MasterCard/Discover #                                                                ___Exp.                   _____

Name as it appears on credit card                                                                                         _____

Signature                                                                                                                               _____


Make Check Payable to Destroyer Escort Historical Museum (DEHM) and mail to:
Destroyer Escort Historical Museum
USS Slater DE-766, PO Box 1926
Albany, NY 12201-1926


Donations to DEHM, an IRS 501(c)(3), are tax deductible to the extent allowed by law.