Donation Commitment Form

We pledge our commitment to MIA+BSI and the Natural Stone Promotional Campaign.

Contact Information:

First Name:
Last Name:
E-mail:
Work Phone:
Company Name:
Company Name as you would like it to appear in print:

Donation:

Total Donation Amount:
For contributions over $5,000, please contact Pam Hammond at MIA+BSI to discuss additional benefits and recognition for your company. She can be reached at pamela@naturalstoneinstitute.org or at 440-250-9222.
Payment Options:
   - denotes required fields