Be part of the legacy! When you make a gift to the Bell Museum, you ensure that generations have access to engaging science experiences, world-class research collections, and timely environmental topics. Leave a lasting impact on your community in support of this world-class museum opening in summer 2018! Fill out the form below and mail with payment to: University of Minnesota Foundation, P.O. Box 860266, Minneapolis, MN 55486-0266.

CONTACT INFORMATION NAME(s)

ADDRESS

CITY

EMAIL

PHONE

STATE

ZIP

GIFT DESIGNATION Name a Seat in the Planetarium — $2,500+ (see back of form for personalization instructions) Diorama Legacy Society — $1,000+ Gift to support the Bell Museum + Planetarium — Any amount makes an impact! Enclosed is the full amount of I agree to pledge the amount of beginning in

payable over

years (5 years maximum),

(month/year)

PAYMENT INFORMATION Check (made payable to the University of Minnesota Foundation) Credit Card VISA

MasterCard

Discover

American Express

CARD NUMBER

Thank you for your support! Your gift is 100% tax deductible.

SIGNATURE FOR APPROVAL

EXPIRES (MM/YY) UM17BELSEAT1

NAME A SEAT PERSONALIZATION Take your seat beneath the stars at the Bell Museum digital dome planetarium. In recognition of your contribution, you can have your name or a personal message engraved on one of our 120 planetarium seats. Instructions: Please fill out the form below using dark ink or online at z.umn.edu/BellSeat. Your name or personal message will be engraved on a 1 x 3” plaque that will be permanently located on the digital dome planetarium seat. You may engrave up to three lines with 18 characters per line, including spaces and punctuation.

QUESTIONS?

PLEASE RETURN THIS FORM TO:

Please contact:

University of Minnesota Foundation P.O. Box 860266 Minneapolis, MN 55486-0266

Laura Vitko Membership & Development Manager Bell Museum 612-624-0089 [email protected]

Learn more at bellmuseum.umn.edu

Thank you for your support! Your gift is 100% tax deductible. The University of Minnesota reserves the right to approve all text prior to production. The Bell Museum is a department of the College of Food, Agricultural and Natural Resource Sciences.

Bell Name a Seat Form.pdf

NAME(s). ADDRESS CITY STATE ZIP. EMAIL PHONE. Be part of the legacy! ... and mail with payment to: University of Minnesota Foundation, P.O. Box 860266,.

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