

Please print this form and mail to the Virginia Historical Society.

Company or Foundation Name
 Contact Name and Title
 Address
 City
State Zip
We would like to be a partner in preserving Virginia's heritage by becoming a sponsor at the following level:
John Marshall Council $10,000
James Madison Council $5,000
Battle Abbey Council Senior Fellow $2,500
Battle Abbey Council Fellow $1,000
Battle Abbey Council Associate $500
Benefactor $250
We are unable to join as partners but would like to contribute $ _____________
Tax Information
The VHS has determined that contributions up to $999 are fully tax deductible. For contributions of $1,000 to $2,499, $123 is
not deductible, and of $2,500 or more, $148 is not deductible if you use our facilities for a private event. You
may opt out of this benefit to make your contribution fully tax deductible.
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I/We do not intend to make use of the facilities for a
private party or special event, therefore, all of this contribution is tax deductible. |
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I/We plan to make use of the facilities for a private party or special event,
therefore, a portion of this contribution is not tax deductible. |
A financial statement is available upon request from the Virginia Office of Consumer Affairs in the Department
of Agriculture and Consumer Services.
Mail to: Catherine Boe, Annual Fund Manager, Virginia Historical Society, P.O. Box 7311, Richmond, VA 23221-0311

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