Donation Form

Give the gift of membership in December or snag this limited time deal for yourself and secure all the benefits in time for our new childrens wing and cotton heritage center opening in 2024.

If you are not a current member, you may purchase one for yourself. If this a gift, select that option, which will allow you to enter the recipient's information. We will mail a magazine, brochure, gift membership card and letter detailing who made the gift of membership. We will also mail you a receipt. If you would like to purchase multiple gifts, please call our staff at (806)744-3786.

Purchase Supporter Membership at Special Rate

Amount

$25

I would like to gift this membership to someone else

Recipient Name

Send Gift Notification to:

First Name

Last Name

Address

Address 2

City

State/Province

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My Information

First Name

Last Name

Company Name

Address

Address 2

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Zip/Postal Code

Home Phone

Cell Phone

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $0.00 to go to FiberMax Center for Discovery and I will donate $0.00.No. I will donate $0.00 and FiberMax Center for Discovery will cover the processing costs.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

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Billing Address

Same As Above

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Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.