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Contribution Form

Tucson Buffalo Soldier Monument



Tucson Buffalo Soldier Monument

Contribution Form

Tucson Buffalo Soldier Monument, P.O. Box 27659, Tucson, AZ.  85726  
Phone:  520-294-4402

Contribution   Individual:  Group:  Organization 

Date:       mmddyy:  Group/Organization:

 First Name  Last Name

Address City StateZip

Telephone Email

        Fill out order form online, then print a copy. Mail form & Check to our address above; Copy and paste completed form into MS Word. Select Submit button and email the Word copy to us. *

         Please make checks payable to “Tucson Buffalo Soldier Monument”.

Your Individual or Group Contribution

Level of Contributions

Private $25.00 Corporal $40.00  Sergeant $50.00

Sergeant major $100.00 Lieutenant $125.00

Captain $250.00Major $500.00 Lieutenant Colonel $650.00

Colonel $1250.00 General $2500.00

Contribution       Amount: All contributions are tax deductible minus any benefits you might receive.                       

  Mail form to: Tucson Buffalo Soldier Monument, P.O. Box 27659, Tucson, AZ  85726

   You are paying by, Check Money Order  OtherNo cash please

Total Amount Enclosed

Click here to Submit form

Please fill out form and print a copy and mail it to address below. 

Tucson Buffalo Soldier Monument 
P.O. Box 27659, Tucson, Arizona 85726
Phone/Fax 520-294-4402
e-mail: buffalosoldiermonument@juno.com