Donation Form

Welcome to the DuPage Children's Museum On-Line Donation Form
    

Prefer to send a check? Print and mail this form with your check.  (If you have difficulty printing, please call (630) 637-8000.)

 
DuPage Children's Museum
301 N. Washington Street
Naperville, IL 60540
(630) 637-8000
 

The DuPage Children’s Museum is a private, not-for-profit 501(c)(3) organization.

DONOR INFORMATION  *Required information

Donation Level*

 

$25
$50
$100
$250
$500
$1000
Other
      Amount $

Corporate Partnership Program:
By becoming a Corporate Partner, you will enjoy additional benefits while helping to support the work of the DuPage Children's Museum in serving more than 300,000 children and adults each year through exhibits, programs and outreach activities.

For more information regarding the Corporate Partnership Program, call 630-637-8000 ext. 2540.

Name*

First Name
Last Name

Additional Name or Corporation Name:
                 

Address*

Address:   
City:          
State:                     ZIP:

Phone*

xxx-xxx-xxxx

This gift is made:

In Memory of:

In Honor of:   

If you wish to have us notify the family or individual, please note their address:

Name:    
Address:
City:       
State:                  ZIP:

PAYMENT INFORMATION

Credit Card Information*

Card Type: Visa MasterCard Discover

Card Number (no dashes)

Expiration Date: Month Year

Name as it appears on card
First Name (and MI)
Last Name              

Credit Card Billing Address*

Copy address from above

Address:
City:       
State:                  ZIP:
Phone:    ex. xxx-xxx-xxxx

E-mail (for transaction confirmation):

Note:

Total Amount to be Charged

This field is calculated for you based on the selections above.

$ U.S.