Fort Pitt Museum Associates
Point State Park
101 Commonwealth Place
Pittsburgh, Pennsylvania 15222
412-281-9284
www.fortpittmuseum.com

Date:     _____________________

Name:    ___________________________________________________

Address: ___________________________________________________

   ___________________________________________________

   ___________________________________________________

Telephone:      ______________________________________________

Email Address: ______________________________________________

Category:

Individual: $15 - 28.00 _____

Family: $29 - 99.00 _____

Sponsor: $100-249 _____

Patron: $250+ _____

___ Yes, I would like to contribute $_______ to the FPMA Acquisitions Fund, which helps to purchase documents and artifacts that strengthen the holdings of the Fort Pitt Museum. (All contributions are tax-deductible to the full extent allowed by law.)

Thank you for your interest in and support of the Fort Pitt Museum Associates!

Donn Neal
President