Personal Details: Title: First Name: Surname: Address: Suburb: State: Postcode: Phone: Mobile: Email: I would like to donate: $25 $50 $100 $250 $500 $1000 Other amount: $ All donations of $2 or more are tax deductible. The Trustees of the Tasmanian Museum and Art Gallery (ABN 17 334 217 592) is a deductible gift recipient. Payment Options: Cheque or Money Order (made payable to the Tasmanian Museum and Art Gallery) Visa Mastercard AMEX Card Number: / / / Expiry Date: / Cardholders Name: Signature: Date: Please note all details are secure and confidential and only used by TMAG. I would like my donation to be publicly acknowledged under the following name: I would like my donation to remain anonymous Please send me information about: The Foundation of TMAG; The Friends of TMAG; Museum updates    Thank you for your generosity and support
Personal Details: Title: First Name: Surname: Address: Suburb: State: Postcode: Phone: Mobile: Email: I would like to donate: $25 $50 $100 $250 $500 $1000 Other amount: $ All donations of $2 or more are tax deductible. The Trustees of the Tasmanian Museum and Art Gallery (ABN 17 334 217 592) is a deductible gift recipient. Payment Options: Cheque or Money Order (made payable to the Tasmanian Museum and Art Gallery) Visa Mastercard AMEX Card Number: / / / Expiry Date: / Cardholders Name: Signature: Date: Please note all details are secure and confidential and only used by TMAG. I would like my donation to be publicly acknowledged under the following name: I would like my donation to remain anonymous Please send me information about:  The Foundation of TMAG;  The Friends of TMAG;  Museum updates Thank you for your generosity and support
Dollar_donation_form.docx