Contribution Form (Print and Return)

Contributions to the American Geographical Society, above and beyond membership dues, play an important role in helping our programs succeed. Your gift of any amount will help underwrite Society initiatives in scientific research, exploration, and education.

Full Name _______________________________________________________

Mailing Address ___________________________________________________

City _______________________ State ___________ Zip Code _____________

Daytime phone ____________________ Evening phone ___________________

Fax ___________________ E-mail address ___________________

Please indicate the amount of your contribution below:

__ $25  __ $50 __ $100 __ Other _______

Method of payment:

__ My check is enclosed, payable to the American Geographical Society.

__ Please charge my credit card:

__ Visa __ MasterCard __ American Express

Acct. Number _______________________ Exp. _________

Signature ________________________________________

Tax-deductibility: The American Geographical Society is recognized as a tax-exempt, nonprofit organization under section 501(c)(3) of the Internal Revenue Code. Contributions to AGS are tax-deductible within the limits of the law.