COUNT ME IN !! Here is my $ _______ pledge to The Flying Leatherneck Historical Foundation building fund in support of The Flying Leatherneck Aviation Museum at MCAS Miramar. Contribution preference: By Check to "FLHF" at: PO Box 45316, MCAS Miramar. San Diego, CA 92145-0316
Full payment enclosed _____ or, I’ll remit $ ______ quarterlyBy credit card: I hereby authorize the FLHF to enter one charge in the amount of:
$ _____________ as payment in full or, to generate charges in the amount (s) of:$ _____________ on the following dates: 1. _______ 2. _______ 3. ________ 4.________
Charge to my: VISA ____ Master Card ____ Discover ____ Expires MO/ YR ____/____
Card number: _______________________________________________________________
Printed name as on credit card: ________________________________________________
Signature: ____________________________________ Date: ________________________
Mailing address:_____________________________________________________________
Telephone #: _______________ Fax #: _________________ E-mail: __________________
"In Memoriam" instructions:
Remittance #1_________________________ Remittance #2_________________________
Remittance #3_________________________ Remittance #4_________________________