The Kentucky Renaissance Pharmacy Museum offers several ways way to show support of the Kentucky Renaissance Pharmacy Museum, our state's leading preservation organization for pharmacy.
 While contributions of any size are greatly appreciated, we have established the following levels of annual giving for your consideration.            
Friend of the Museum

$100

Proctor Society

$250

Damien Society

$500

Galen Society

$1000

 

 
Name__________________________________ Specify gift amount_______________________
Address _______________________________ City____________________Zip_____________
Phone _H_______________W_____________ Email__________________________________
Employer name_____________________________________________or possible matching gift
Loving Tributes in honor or memory  of_____________________________________________

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Monthly Debits - You may also donate automatically to the Kentucky Renaissance Pharmacy Museum from your checking or saving account. This wonderful opportunity to support the Museum does not in anyway affect your relationship with your personal banking institution. This method can be easily arranged by:

  • Completion of the form with your name, financial institution and location, and date.
  • Indicate that your donation will be from a checking or savings account.
  • Attach a voided check or deposit slip from your designated account to the complete form.
  • Sign your name as on your account (checking or saving) and mail to address below.

Authorization Agreement for Automatic Donation   Click here for easy print form

I hereby authorize the Kentucky Renaissance Pharmacy Museum to initiate debit entries and if necessary, credit entries and adjustment for any debit entries in error to my account indicated below at the financial institution named below, and to debit ad/or credit the same to such account.

  • Please select:              (__)   Checking Account                   (__)  Saving Account
  • Amount of donation $______________to be withdrawn at (__) 1st or (__) 15th of month.
  • Financial Institution __________________________________________________
  • City_____________________________ State ___________Zip_______________

This authority is to remain in effect until the Kentucky Renaissance Pharmacy museum has received written notification from me of its termination and manner as to afford the Kentucky Renaissance Pharmacy Museum a reasonable opportunity to act upon it.

Name__________________________________ Gift ___________________________________
Address _______________________________ City____________________Zip_____________
Phone _H_______________W_____________ Email__________________________________
Employer name____________________________________________ for possible matching gift
Tributes in honor or memory of____________________________________________________

Date______________Signature_____________________________________________________

Special Giving - The Kentucky Renaissance Pharmacy Museum has established special accounts to receive bequests and donations of appreciated stock or IRA rollover donations. We will gladly review the process with you, please contact Lynn Harrelson.

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Kentucky Renaissance Pharmacy Museum

P.O. Box 910502

Lexington, KY 40591-0502
The Kentucky Renaissance Pharmacy Museum is a non-profit 501(c)(3) business entity and as such donations are tax deductible.  A notice of your tax deductible contributions will be mailed to you annually
Questions: Contact Lynn Harrelson @ 502-425-8642 or Lharrelsonky@aol.com