Donor Levels (Please mark your level of support)
| _____ |
Chandelier Member |
$500,000 |
Special Recognition
|
| _____ |
Premier Benefactor |
$250,000 |
Chihuly Drawing (Value $7,000)
|
_____ |
Benefactor |
$100,000 |
Chihuly Glass - Studio Edition (Value $4,000) |
_____ |
Patron |
$50,000 |
Chihuly Autographed Book and Video Set |
| _____ |
Sponsor |
$25,000 |
Chihuly Autographed Book |
| _____ |
Contributor |
$10,000 |
All levels receive donor name inscribed on signage located near Chihuly Circcle Chandelier
Recognition at Annual Gala and Promotional Materials |
* All gifts within the Chihuly Circle are considered cumulative and are recognized upon full cash receipt |
| ** In-Kind donations, programs sponsorships, gala purchases and tickets are not applicable |
| Board Dues waived for donors $25,000 and above. |
| Name__________________________________________________ |
| Address________________________________________________ |
| ______________________________________________________ |
| Phone Day: ___________________ Eve: ______________________ |
Enclosed is my check payable to Seniors Making Art |
| in the amout of $ __________________ |
VISA/MC # ________________________________ Exp. ________ |
| Signature_______________________________________________ |
My Employer will match my donation: |
| Company Name: ________________________________________ |
| Phone: ________________________________________________ |
__ Check here if you do not wish your gift to be publicly acknowledged
__ Check here if you would like more information
|
Please mail entire form to:
16040 Christensen Road, Suite 316
Seattle, WA 98188
(206) 433-6900
|
