ASIAN PACIFIC WWII ATROCITY MEMORIAL, INC.
(APWAM) – an IRS 501 (c) (3) non-profit organization
MEMBERSHIP / DONATION FORM
Name: ______________________________
Address: ____________________________
____________________________________
Phone No.: __________________________
E-Mail: _____________________________
All who support the Mission of APWAM are welcome to join.
□ General Member Annual Dues $20
□ Lifetime Supporter Member Donation $1,000 & up
AtrocityMuseum Fund
Donations, in cash, securities, goods or services, from individuals, corporations, foundations and estates are welcome.
Seed Money Fund
□ Benefactor Annual Donation $200
Museum Fund Pledge / Donation
□ Donation Enclosed ….…..$ ___________________
□Pledge Amount ……..….$ _________________
□Please contact us for non-cash donations, etc.
All donations are tax deductible to the extent allowed by Law.
Donor Recognition Levels
$ 5,000 & up Name listed in Program
$ 100,000 & up Name Inscribed in Stone
$ 1,000,000 & up Naming of Exhibition Hall
APWAM will periodically inform its members
on the progress of the museum project.
Please make your check payable to APWAM
and mail with this form to:
Treasurer, APWAM
10901 Barnwood Lane, Potomac, MD20854
(Dues for areas outside of North America will be set separately)
APWAM will periodically inform its members