Donate

To make a donation in support of the Museum, Arts and Culture Access Consortium’s efforts, please print the form below, fill in the information as requested, and mail it to the address at the bottom of this page or email it to museumaccess@gmail.com.  If you are making your donation by check, please be sure to make the check payable to “Fund for the City of New York” and indicate “For the Museum, Arts and Culture Access Consortium” or “MAC” in the memo line.

Enclosed is a gift in support of the Museum, Arts and Culture Access Consortium, payable to “Fund for the City of New York “, MAC’s fiscal sponsor.

Gift Amount:$_____________

Your Name: ____________________________________________________________________

Address: ______________________________________________________________________

City: _________________________ State: _________________ Zip: _______________

Email: __________________________________ Phone: _______________________________

Method of Payment Information:

Payment Method: ____ Check, ___Amex, ____Visa, _____MC

(All gifts made by check should be made out to “City Access New York, Inc.” with “MAC” or “Museum Access Consortium” in the memo line)

Name on Card: ________________________________________________________________

Account #:_________________________________________Exp. Date: _________________

Signature: ____________________________________________________________________

Gift designation:

Please designate my gift as a tribute to: __________________________________________

Anniversary:___   Memorial:___ Birthday: ___   Other: ____________________________

Please send notification of this gift to:

Name: ________________________________________________________________________

Address: ______________________________________________________________________

City: _________________________ State: _________________ Zip: _______________

Email a scanned copy of this form to museumaccess@gmail.com

or

Mail it to: Museum Access Consortium c/o Fund for the City of New York, 121 6th Ave # 6, New York, NY 10013