Donate

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Donation Type*
- Unrestricted (for general PLHS non-profit use)
- Restricted to Museum
If you’d like to restrict part of your donation, please explain in the “Additional Notes” section below.
Payment Type*
- Check
- Credit Card
Pay By Check
You may pay by check instead if you'd like.

Please make checks payable to the Lucretia Vaile Museum and mail to:

Palmer Lake Historical Society
Attn: Gift Shop
P.O. Box 662
Palmer Lake, CO 80133

We suggest printing your form prior to submitting it to include with your check.
Check Donation Amount*
Pay By Credit Card
Credit Card Donation Amount*
Other Donation Amount

Credit Card

Cardholder Name

Card Details

Pay By Check