Panama Canal Museum Collection
Membership Application Form
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Is this membership a gift to another party?
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This membership is a gift from:
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Select your annual membership level:
Gaillard (Household) $50+
Gaillard (Individual) $26+
Gorgas $125+
Sibert $250+
Stevens $500+
Goethals $750+
Roosevelt $1,000+
Make this gift recurring
* All recurring charges are on-going until donor notifies the UF Foundation (
records@uff.ufl.edu
) to stop.
Member information:
Each member will receive a membership card in his or her name.
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Include my (our) name(s) on donor recognition lists.
I would also like to give to the Panama Canal Museum Collection digitization campaign (#017606)
Gift Amount: $
For more information about supporting the Panama Canal Museum Collection,
please call the Smathers Libraries Development Office at 352-273-2505.
Review your order on the next page.