Support the Children’s Museum Dine & Discover Donation Thank you for your support Your donation will help make our Dine & Discover a success! Donation: Dine & Discover "*" indicates required fields Business Name (if applicable) Your Name* First Last Email* Phone*Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Sponsorship Amount* $100 $250 $500 Other amount Custom Amount*Would you like to help cover the cost of processing this transaction?* Sure! No, thank you Your Total Price: $0.00 Custom Total Price: $0.00 Your Total (with transaction fee) Price: $0.00 Custom Total (with transaction fee) Price: $0.00 How would you like to pay?* I'd like to set up payment online now I'd like to mail a check I'd like to talk with someone about a different payment option Credit Card* Please make your check payable to "Portsmouth Museums Foundation" and mail it to: Executive Director 521 Middle St. Portsmouth, VA 23704-3622 Please write "Dine & Discover Donation" in the memo line. PLEASE NOTE: Even if you are making your donation by check, please go ahead and send in this form, so we can match your info to your check. Please contact our Executive Director at exec@portsmouthmuseumsfoundation.org or call 757-393-8983, ext.13. NameThis field is for validation purposes and should be left unchanged.
