Donation Form

DonationForm
TheFollyTheater
EnhancingLivesthroughthePoweroftheArts
DonorInforma2on(pleaseprintortype)
Name
Billingaddress
City,STZipCode
Phone1|Phone2
Fax|Email
GiFInforma2on
I(we)giftatotalof$____________________tobepaid:☐now☐monthly☐quarterly☐yearly.
I(we)plantomakethiscontributionintheformof:☐cash☐check☐creditcard☐other.
Creditcardtype|Exp.date
Creditcardnumber
Authorizedsignature
Giftwillbematchedby(company/family/foundation)
☐formenclosed☐formwillbeforwarded
AcknowledgementInforma2on
Pleaseusethefollowingname(s)inallacknowledgements:
☐I(we)wishtohaveourgiftremainanonymous.
Signature(s)
Date
Pleasemakechecks,corporatematches,
orothergiftspayableto:TheFollyTheater
Forquestionsorcomments,pleasecontactBrian
Williams,DirectorofDevelopmentat816-842-5500
[email protected]
TheFollyTheater
P.O.Box26505
KansasCity,MO64196
Fax:816-842-8749
Email:[email protected]
ThankyourgiF!
TheFollyTheaterisa501(c)(3)nonpro7itorganization