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Donation Form

Name
Address
Address line 2
City
State
Zip
Day/Work Phone
Evening/Home Phone
Email Address *
How would you like your gift to be recognized?
I would like to support Imagination Stage with an unrestricted gift in the amount of $
I would like to make a monthly gift to support Imagination Stage (minimum $360)
(last payment by end of fund year, 8/31/08)
Please charge my credit card each month:
$
beginning:

and ending:

for a total of:
$
I would like to restrict my gift to one of the following programs: $
AccessAbility
Deaf Access
IQ (Imagination Quest)
Professional Theatre
Please check one:
American Express MasterCard Visa
Cardholder's name
Credit Card#
Expiration Date (i.e. 10/02) /

THANK YOU! Contributions will be used to further the mission and programs of Imagination Stage at the discretion of the Board of Trustees. For further information, contact the Development Department at 301-280-1626 or email George Spicer at gspicer@imaginationstage.org.

If your company has a Matching Gifts Program, please ask if they will match your donation.

Imagination Stage is a not-for-profit corporation under section 501 (c) (3) of the Internal Revenue Code. Contributions are tax-deductible in accordance with the law.

 
 
   
 
 
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