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DRAMA
THERAPY FUND NAME:_______________________________________________________ ADDRESS: ___________________________________________________ CITY: ________________________________________________________ STATE/PROVINCE ________ ZIP ______________ COUNTRY:__________________________ HOME PHONE __________________________ WORK PHONE __________________________ EMAIL (required) _______________________________________________ ____ I wish to give anonymously. ____ Please, contact me. I would like
information about supporting The Drama Therapy Fund ____ Please, contact me. I have information
about potential grants Please make checks payable to: “The Drama Therapy Fund” and send to: The Drama Therapy Fund CATEGORIES OF GIVING: ________ Role Model – Up to $249 ________ Hero – $250 to $499 ________ Warrior – $500 to $999 ________ Mentor – $1,000 to $4999 ________ Legend – $5,000 and above. Enclosed is my check for $ ______________________ Your donation to The Drama Therapy Fund is tax-deductible as permitted by law. Drama Therapy Fund Donors will be listed on the Drama Therapy Website Donor Page for the current fiscal year, unless you specify that you wish to be listed anonymously (see above). Thank you for your contribution. |
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THE DRAMA THERAPY FUND |
