DRAMA THERAPY FUND
CONTRIBUTION FORM

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
through gift and estate planning.

____ Please, contact me. I have information about potential grants
or foundations The Drama Therapy Fund could apply to.

Please make checks payable to:   “The Drama Therapy Fund” and send to:

The Drama Therapy Fund
c/o Sally Bailey, Treasurer
1626 Leavenworth Street
Manhattan, KS 66502

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.

THE DRAMA THERAPY FUND
www.dramatherapyfund.org
1626 Leavenworth Street, Manhattan, KS 66502

info@dramatherapyfund.org