Membership Memorial

Scholarship Fund

 

We/I would like to make a donation in memory of        
         

 

with a contribution in the amount of   $  

 

Donation by:  
   
   

 

Please make a check payable to the

Slovak Catholic Sokol Museum

 

 

Send your form and donation to:

James G. Jerek

 

Museum Treasurer

 
Membership Memorial

 
Scholarship Fund

 
P.O. Box 899

 

205 Madison St.

 

Passaic, NJ 07055