Donate to our Building Fund

Or print this form to your printer & mail to:

Kankakee Valley Theatre Association



KVTA CENTER BUILDING FUND
Gift / Pledge Agreement YES! I want to make a contribution to KVTA Building Campaign.

NAME___________________________________ ADDRESS______________________________
City/State/Zip_________________________________________________
HOME PHONE____________________ WORK PHONE_______________

MY CONTRIBUTION: please circle appropriate stars

* GIFT * PLEDGE

My Gift of $_______________is enclosed.

I would like to make a Pledge of $_______________

I will be paying: *monthly *quarterly *yearly * I prefer that my gift be anonymous.

My gift is in memory of__________________________

I am an employee/retiree of a matching gift company.

Company name:_________________________________

ENDOWMENT FUND: I would like my donation of_________________ placed in the Endowment Fund.

PLEASE CHARGE MY: please circle appropriate card

*VISA CARD *MASTERCARD

NAME ON CARD________________________________
CARD NUMBER_________________________________
EXPIRATION DATE______________________________

SIGNATURE____________________________________

DATE___________________________________________

Kankakee Valley Theatre Association is a 501©3 nonprofit, chartable organization under IRS guidelines
.