Weather Research Center

5104 Caroline Houston, Texas 77004 Phone: 713-529-3076 Fax: 713-528-3538 E-mail: wrc@wxresearch.com

Have your name or message imprinted on a Paving Stone

at The Weather Museum

During construction phase of the Weather Museum at Weather Research Center, you can make a unique donation that will include your message in the building of The Weather Museum.

A donation of $50.00 will purchase and imprint a paving stone that will be used outside the building.

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Name: ______________________________________________________

Address:_____________________________________________________

Address:_____________________________________________________

City, State Zip:________________________________________________

Phone:_____________________________email:_____________________

Message:_____________________________________________________

_____________________________________________________________

Amount enclosed:_______________

Please Charge my Visa, Mastercard, or American Express

Acct#:_______________________________

____________________________________

Name as it appears on card Exp. Date

___________________________________

Signature