This is our Annual Fund Appeal for 2016.  If you wish to donate please print two copies and retain one for your tax records.  The Board members, President, staff and volunteers Thank you for your support.

 ___$10.00   ___$25.00   ___$50.00   ___$75.00 ___$100.00

 ___$250.00   ___$500.00   ___$1,000.00   ____OTHER

Checks payable to the Jimmy Stewart Museum.  If paying by Credit card, fill out the portion below.

I understand that my donation is fully tax deductible.

The Jimmy Stewart Museum is a registered 501-C-3 not-for-profit Corporation.


Name        ________________________________________________________

Phone        (_________ ) ____________________________________

Card #       ________________________________________________________

Please circle one:

Type           Visa        Mastercard          American Express         Discover

Expiration Date:  ________________  /CVC Code_______

Zip Code   _____________


I acknowledge that the Jimmy Stewart Museum will perform a one-time charge in the amount of $ _____________ as part of my annual pledge.

Signature ____________________________________________________

Date: _________________________________

The Jimmy Stewart Museum

835 Philadelphia Street,  P.O. Box One

Indiana, PA  157o1

Phone:  724-349-6112

FAX: 724-349–6140