PORTCULLIS LIMITED
A non-stock, non-profit, non-governmental, exempt corporation

    Please print this page, fill it out, enclose your cheque and post it to: Portcullis Limited, PO Box 406, Ashland, VA 23005. Those of you who can provide US $250.00 or more will receive what the US Internal Revenue Service calls "contemporaneous written substantiation." In short, we are required to provide you with a letter or other writing which recognises your generous contribution by the time you file your return for the tax year in which the contribution was made. Others who give lesser amounts are still permitted to use a cancelled cheque as "substantiation" of their gift. Please be patient until our all-volunteer staff can respond to your generosity.

TO: Portcullis Limited

FROM: ___________________________________________________________________

    I/we have never founded a museum; much less one to be located in an 18th century fort. I/we would like to support the work of your non-profit-distributing corporation in the rehabilitation and development of Fort George, Grenada, as a self-sustaining entity which provides long-term jobs in a country where poverty is endemic. I/we wish to enlist in the Friends of Fort George at the level listed below.
 

____	CORPORATE	US $2000
____	Maréchal du Fort Royal	US $1000
____	Colonel, Compagnie de la Reine	US $999 - US $500
____	Aide-major	US $250-US $499
____	Chasseur-Volontaire	US $100-US $249
____	Family (Two adults and all children under 18)	US $50
____	Individual	US $35

NOTE: US citizens: You can double your gift if your employer has a matching gift program. Please provide the name of your company and matching gift contact or provide a matching gift form.

COMPANY:_________________________________________________________________

CONTACT:__________________________________Email:__________________________

COMPANY ADDRESS:_______________________________________________________

CITY:___________________________________________________ZIP:_______________

YOUR OWN NAME(S):_______________________________________________________

___________________________________________________________________________

YOUR ADDRESS:___________________________________________________________

___________________________________________________________________________

CITY:_____________________________________________Postal/ZIP:________________

COUNTRY:_____________________Email:_______________________________________

I/we enclose our cheque for US$___________ made out to Portcullis Limited.

NB: If you wish to confirm our current exempt status with the US Internal Revenue Service before sending your cheque, Portcullis Ltd.'s current exempt status can verified by calling the IRS toll free at 1(877) 829-5500.

Mille merci and Many thanks. Questions?: jdz@forts.org

Information last updated: 20 April, 2005 Ó Portcullis Limited. USA 1999 - 2003 - 2005