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 New Chamber Ballet, Inc and mail the check to:
New Chamber Ballet
304 West 56th Street, #1A
New York, NY 10019
( ) check here if you would like your gift to be anonymous.
Mailing Address: ___________________________________
City, State, ZIP: ____________________________________
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.