AMERICAN IRIS SOCIETY FOUNDATION DONATION FORM
DATE:
DONATION FROM: Name:
Address:
City, State, Zip:
Phone: Email:
Choose One:
m IN MEMORY OF: Name:
m IN HONOR OF: Name:
m GIFT
DONATION AMOUNT:
Funds to be deposited into:
m AIS FUND: Code:
m AIS FOUNDATION FUND: Code:
AMERICAN IRIS SOCIETY FUNDS
AISG General Fund
GYF General Youth Fund
INS Insurance Defrayment Fund
100th ANNIV Fund
AISC Calendar Fund
AMERICAN IRIS SOCIETY FOUNDATION FUNDS
AISF General Fund
R&S Research & Scholarship
LIB AIS Library
ENCY AIS Encyclopedia (Wiki)
ACKNOWLEDGMENT TO BE SENT TO: Name:
Address:
City, State, Zip:
PAYMENT:
m Check enclosed (made out to AIS Foundation)
m Please charge to following credit card:
Name on Card: Card Type: mVISA m MC mDisc mAMEX
Card Number: Exp Date: Mo: Yr:
Mail form and/or check (made out to AIS Foundation) to: Jill Bonino
AIS Foundation
3110 Kirkham Drive
Glendale, CA 91206
Winter 2018 AIS Bulletin 21
