Welcome to New Chamber Ballet's Inner Circle...

Print this page and send it to us along with your donation check!
YES! I support the New Chamber Ballet with a contribution at the following level:

(  ) FRIEND ($50 to $99)
(  ) PATRON ($100 to $249)
(  ) BENEFACTOR ($250 to $499)
(  ) LEADER ($500 to $999)
(  ) CHAMPION ($1,000 to $2,499)
(  ) PRODUCER ($2,500+)

IMPORTANT: Please make checks payable to The Field and write "New Chamber Ballet" onto the memo line. The Field is our fiscal sponsor and allows your contribution to be tax-deductible to the extent permitted by law. Mail the check to:

New Chamber Ballet
304 West 56th Street, #1A
New York, NY 10019

Name: _________________________________
( ) check here if you would like your gift to be anonymous.
Mailing Address: ___________________________________
City, State, ZIP: ____________________________________
Phone: ____________________________________
e-mail: ____________________________________

A MATCHING GIFT from your company can bring you to a higher benefit level.
( ) My company has a matching gift program. The form is enclosed.

( ) I do not wish to receive any benefits which would decrease the tax deductibility of this gift.

( ) I wish for my gift to be used exclusively for the Dancers Fund.