County of Los Angeles Fire Museum Association
(To print this form, click on the print icon at the top of your browser)

Please print and use this form for contributions, memorial gifts, or for honoring your friends and family on special occasions.

Once completed, mail this form and gift to:

County of Los Angeles Fire Museum Association
P.O. Box 3325
Alhambra, CA 91803

Please accept my tax deductible contribution of $___________

Please make check payable to:
County of Los Angeles Fire Museum Association.
All contributions are tax-deductible as allowed by law. Tax ID# 33-0294056.
Your Name: ___________________________________________________________
Address: _____________________________________________________________
City: ____________________________ State __________ Zip __________
E-mail Address: _____________________________________________ (To be held in privacy)
My gift is made:
In Memory of: _________________________________________________________
In Honor of: _________________________ for the occasion of ________
__________________________________________________________

Please Notify :

Name _____________________________________________

Address ___________________________________________
City_____________________________State____________Zip__________
...We thank you for your generosity...
Return