DAG Donation Form

Support the Henry Ford Estate
Thank you for supporting Fair Lane with your donation.

All gifts are tax-deductible.
Donor Name*

PrefixFirst NameMiddle NameLast NameSuffix
Dealership Name
Dealership Recognition Name
Email*
Please enter the best email for us to reach you.
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact (if different than above)

First NameLast Name
Primary Contact Email
Please enter the best email for this contact.
Primary Contact Phone Number
Please enter a valid phone number.
Payment Options*

CheckPayPal
Please make checks payable to Henry Ford Estate.

Checks can be mailed to:

1 Fair Lane Drive, Dearborn, MI 48128
Check Donation Amount

$10,000 - The Model T Society$25,000 - The Model A Society$50,000 - The Fordson Society$100,000 - The Quadricycle Society$250,000 - The Trimotor Society$500,000 - The Sweepstakes Society$1,000,000 - The Clara and Henry SocietyOther
Donation Amount

prevnext( X )
USDPlease enter your donation amount.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Support the Henry Ford Estate