Mammoth Miners Memorial Pledge Form

Mammoth Miners Memorial Contribution Form

I am contributing $_________ for the project. Check #_______

Please make check payable to the MMM Inc.

___ Send me a receipt

___ Don't send me a receipt

___ I would like to contribute my skills and time instead, please contact me.

SIGNATURE.........................................................................................

PRINTED NAME...................................................................................

MAILING ADDRESS.............................................................................

...............................................................................................................

TELEPHONE.........................................................................................

E-MAIL....................................................................................................

Print out and mail to:
Mammoth Miners Memorial Organization
P.O. Box 381
Mammoth, AZ 85618

Note: The Mammoth Miners Memorial Inc. is a non-profit 501(c)(3) corporation dedicated to the creation of a memorial honoring all miners, and especially those who their lives by tragic accidents in the Mammoth mining camp area, Pinal County, Arizona.
Federal Tax ID # 86-1034222

Mammoth Miners Memorial Contribution Form

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