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Purchase a Gift Membership

Select an Amount

Donate $1,000 or more and become a member of our critical Annual Fund Leadership Circle.

Donate $500-$999 and become a member of the Benton MacKaye Society.

Are you currently a member?
Your Member #
2. Who is the gift from?
First Name *
Last Name *
Address 1 *
Address 2
ZIP Code *
Email *
Who is the gift for?
Recipient Email*
Recipient First Name*
Recipient Last Name*
Recipient Phone*
Personalized Note
Recipient Address
Recipient Address Line 2
Recipient Zip
Recipient City
Recipient State
3. Payment Information
Name on Card *
Credit Card Number *
Credit Card Type:
Expiration Date *
Billing Address 1 *
Billing Address 2
Billing Zip Code *
Billing State *
Billing City *
Billing Country*

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