My Contribution to the Arts Council Annual Campaign

Name(s)_________________________________________________       

Street Address ____________________________________________  

City _________________________ State ______ Zip_____________

Home Phone ______________  Work Phone ______________  

I would like to make a contribution in the following amount:

__$2,500 Angel __$1,000 Partner __$500 Sponsor

__$250 Gold Circle __$100 Silver Circle __$65 Family

__$35 Friend __Other $____________

__My company will match this gift; please call me.

Method of Payment:

My personal check is enclosed in the amount of $______________________
   (Please make payable to: Arts Council of Greater Grand Rapids.)

Please bill my Visa or MasterCard for $____________

Name(s) as it appears on card: __________________________________

Card Number: ___________________________ Expiration date: ________

Signature: ___________________________ Today’s Date: ________

Please print and complete and mail to:
Arts Council of Greater Grand Rapids
P0. Box 2265
Grand Rapids Ml 49503

Thank you for your generous contribution!
Contributions to the annual campaign are tax-deductible to the full extent of the law. MISC/CT 5888
A letter confirming your donation will be mailed within 7 days of receipt at the Arts Council.

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