Donations to the Mineral Museum

*(required fields)

*Amount:
(Donate $25 or more per year to become a Friend of the Museum and $250 or more to become a Lifetime Friend.)

*Name:
Salutation: (Dr., Mr., Mrs., etc. — optional)

First:   M.I.  Last:

Title:
(Professor, Exploration Geologist, etc. — optional)

Affiliation / Company:

*Address:
(line 1):
(line 2):

*City:

*State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *International  or Province:

*Zip (or Postal) Code:

Country: (*if outside the United States)

*Daytime Phone:

*E-mail:

Options

Remember my name & address for future purchases (explain).
Contact me regarding new publications or geology events in NM (explain).

Donation Notes:
(For dedications, memorials, or anything else you'd like to share about this donation)