ASHRAE Life Members Contribution FORM

http://www.ashrae.org/lifemembers

ASHRAE members who have paid dues for 30 years and have reached age 65 are automatically members of Life Members Club. No member of the Club is required to pay dues.

I would like to financially support the ASHRAE Life Members Club mission and programs! Please accept the following gift made in US Funds.

Please use the secure form below to make your voluntary donations on our secure server.

Your Contribution

Please enter the amount of your contribution

$

Name as it appears on Card

Member Number

Address City

State Zip Code

Country Phone

Email

Credit Card Type:

Card Number Expiration Date

Special Gift Acknowledgements:
In Memory In Honor Does Not Apply

Fields with a star (*) below are required if 'In Memory Of' or 'In Honor Of' is selected

*Name of person to be recognized:
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Relationship to Person Being Acknowledged:
Acknowledgement Address 1:
Acknowledgement Address 2:
Acknowledgement City:
Acknowledgement State:
Acknowledgement Zip Code:
Acknowledgement Country:

Please review your contribution carefully before pressing the submit button.