I/my company would be delighted to help complete the Tomá¹ Garrigue Masaryk Memorial Park
at the _______________ level.

I would like to be listed in the register book as follows:

_____________________________________________________________________________


Please Choose One:

My check in the amount of $_____________ is enclosed.

I would like to pledge $_____________. My payment will follow.

Please make checks payable to the “Tomá¹ Garrigue Masaryk Memorial Fund” and mail with this completed form to:
American Friends of the Czech Republic
2801 M Street, NW
Washington, DC 20007

Your support is greatly appreciated and your gift is tax deductible. The IRS has ruled that AFoCR is tax exempt under section 501(c)(3) and a public charity under the Internal Revenue Code of 1986. Our EIN is 52-1921393.