Individual/ Couples Form

The total amount of your gift will be listed on our website and in our annual report unless you prefer to remain anonymous.

If you are a company/ organization wishing to become a Friend of MDHAC as a sponsoring partner, please click on Company Form button above.

Suggested Donation Amounts:

Friends of MDHAC for 12 months

Preserver of Deaf History for 12 months

Benefactor of Deaf Arts for 12 months

Celebrator of Deaf Culture for 12 months

Friends of MDHAC

Preserver of Deaf History

Benefactor of Deaf Arts

Celebrator of Deaf Culture

This is a one-time payment

This is a monthly payment

First Name: Last Name: Birth Date: / / Address: If this is a couples membership, write name of your significant other here: City: State: Zip: - Country: Phone: Email: Pick "Yes" if you wish to remain anonymous Comment:

[* indicates that these items are required to be filled out.]

On behalf of the MDHAC Board, Staff & Volunteers, we appreciate your investing in Deaf people's history, arts & culture. With your contribution, MDHAC will be able to work further to accomplish our mission with the support, involvment and enthusiasum of committed friends & supporters like you. MDHAC is a 501(c)(3) charitible organization, thus your contribution is tax-deductible. Thank you.

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