Thank you for supporting the Idaho Humanities Council

Name ______________________________________

Street Address________________________________

City __________________________State__________

Zip_________Phone___________________________

List donation from: ____________________________

____ Benefactor ($1,000)

____ Pioneer ($500)

____ Sponsor ($250)

____ Donor ($100)

____ Advocate ($50)

____ Volunteer ($35)

____ Other

Mail check and form to:

Idaho Humanities Council
217 W. State Street
Boise ID 83702

Phone: 208-345-5346

FAX: 208-345-5347