Daly Mansion - Give the Gift of History Form

Give the Gift of History

The following is a list of the different gifts of history for you to choose from:

___ Spindle Plaque $50
___ Bench Plaque $50
___ Arbor Column $500
___ House Column $1000-1500
___ New Tree $150
___ Medium Tree $250
___ Large Tree $350
___X-Large Tree $450

Please write in what you want on the plaque
_____________________________________
_____________________________________
_____________________________________

Name ________________________

Spouse's Name ________________________

Business Name ________________________

Email ________________________

Mailing Address ________________________

City/State/Zip ________________________

Home Phone ________________________

Business Phone _______________________

Check enclosed $ ________________________
OR
Please bill the following credit card account
___Visa___AmEx___Master Card___Discover

Card Number ________________________
Expiration Date ________________________

Mail Form to:

Daly Mansion Events
PO Box 223
Hamilton, MT 59840

or Fax it to:

406-375-0048

or E-mail it to:

dalyevents@dalymansion.org