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: ________________

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.