If you do not wish to donate on line, please print out this form and mail it to the address below. Thank you!
       Name: ______________________________________________________________________________________________ 
         
       Mailing Address: ______________________________________________________________________________________ 
         
       ____________________________________________________________________________________________________ 
         
       Phone Number: _______________________________________________________________________________________ 
         
       Email Address: ________________________________________________________________________________________ 
         
       Amount:______________________________________________________________________________________________ 
         
       In Memory Or Honor  
       of__________________________________________________________________________________________________   
         
       Please send acknowledgment to (Name & Address)  
       :_____________________________________________________________________________________ 
         
       :_____________________________________________________________________________________ 
         
       :_____________________________________________________________________________________ 
       Please make checks payable to the Clarke County Museum and mail to: 
       
        Clarke County Historical Museum 116 West Cobb Street Grove Hill, AL  36451   
        
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