Cranberry House
Donation Form

Yes, I want to help the Great Cranberry Island Historical Society create a new permananet Museum and multipurpose Cultural Center!  Please accept my donation (either a check, or stock certificates) as listed below.

Please print this page, complete the form, and send it with your tax-deductible donation to the address below.  We'll mail back the completed receipt.

Make out checks (in U.S. Dollars) to "Great Cranberry Historical Society."

There are significant capital gains tax savings in donating stock that has appreciated, rather than selling it and donating cash.  Stock certificates can be deposited into Great Cranberry Historical Society's Account #ABM-051459, DTC #0443, Pershing Clearing House.  Or get in touch with us and we'll arrange the details.

Handicap Lift Fund $______    Hitty Café Kitchen Fund $______
General Cranberry House Fund $______    Endowment Fund $______
(fill in amount for one, or several)


Name____________________________________________________________________
Address_________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Telephone (Summer)______________________ (Winter)_______________________
E-mail address__________________________ _______________________________

Donation________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Comments/Suggestions?__________________________________________________
_______________________________________________________________________
_______________________________________________________________________

- - - - - we will cut here, and mail back your receipt - - - - - - - -

- Receipt -
The Great Cranberry Island Historical Society
POB 12, Cranberry Isles, ME 04625
Registered under the name "Great Cranberry Historical Society"
A publicly-supported 501(c)(3) organization.  Contributions are tax-deductible.
US Dept. of the Treasury, Case #113348005, Employer ID# 01-0484796.
D-U-N-S® #14-647-7752
On the Internet at:  gcihs.org

Received from______________________   Amount $_________________________
Date_______________________________   Signed __________________________

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