Smithsonian Soils Exhibit

___ I/we would like to share background or an idea for the Smithsonian Soils Educational exhibit, web page or teacher curricula (attach larger materials if necessary):

___ I/we would like to support the Smithsonian Soils Exhibit with a gift through the Agronomic Science Foundation, a 501 (c)(3) organization. I would like to contribute $______________ towards the ___________________ state monolith

___ Enclosed is my gift, or

I would like to pledge $______over____number of years (up to three).

Enclosed is my gift of $__________ for this year’s payment.

Name ________________________________________________________________

(please print name as you would like it to appear on recognition)

Address ______________________________________________________________

City/State/ Zip __________________________________________________________

Telephone ___________________ E-mail address _____________________________

For those making contributions, please include check made out to ASF or complete the credit card information below. Gifts are fully tax-deductible.

__VISA ___ MasterCard ___ Discover

Card Number _____________________________________________________

Cardholder's Name _________________________________________________

Expiration Date _________ Signature ___________________________________

Please suggest other individuals we should contact about the project:

Name _______________________ Name ______________________________

Address _____________________ Address ____________________________

City/St/Zip ____________________ City/St/Zip _________________________

Name _______________________ Name _____________________________

Address ______________________ Address ___________________________

City/St/ Zip ____________________ City/St/Zip _________________________

Please return this form to:

Agronomic Science Foundation *677 South Segoe Road * Madison, WI 53711

Fax: 608-273-2021

Project information: www/soils.org/Smithsonian/

Donate on-line: www.a-s-f.org/ select “donate online”

Smithsonian Soils Exhibit Cooperators

National Museum of Natural History•Soil Science Society of

America•Agronomic Science Foundation

H:\Valerie\Smithsonian\Smithsonian Pledge Word.doc