Donation Form

Printer-friendly versionSend to friend
South Haven Center for the Arts
Donation Form

Donation Amount  $________________

Donor’s Name __________________________________________________

Donor’s Business Name __________________________________________

Address _______________________________________________________

City / State / Zip __________________________________________________

Phone ______________________________ Cell _______________________

E-mail _________________________________________________________

___ I am giving more than $200 and would like a family membership
___ Please send me information about the Michigan 50% Tax Credit Plan
___ I have made provision for South Haven Center for the Arts in my will
___I would like to give a gift in honor or memory of a loved one
___ In Honor of            ___ In Memory of  ______________________________

Method of Payment:       __ Check      __ Visa     __ MasterCard       __ Discover

Card # _____________________________________ Exp. Date ____________

Signature __________________________________ Date _________________

 
Acknowledgment of gift: I give permission for my name / business
to be placed on the SHCA website and / or in press releases
as a supporter of this organization.          Initials ______________
 
Send this form and your donation to:

South Haven Center for the Arts / 600 Phoenix St. / South Haven, MI 49090