Become a Member!

Name__________________________________________

Address________________________________________

City_________________________State_____Zip_______

Phone _________________________________________

email _________________________________________

_____ Yes! I’d like to become a Member.

Enclosed is my contribution of:

_____$50 _____$100 _____$250 _____$500 _____ Other amount

_____ Enclosed is my employer’s matching-gift application.

Many employers will match their employees’ tax-deductible contributions to non-profit organizations. Check with your employer; it can be an easy way to double the impact of your gift!

_____ I don’t want to become a Member right now,
but I’d like to make a tax-deductible
donation of $____________.

_____ Please add me to your mailing list.

Tax deductibility: In keeping with IRS regulations, please note that the fair market value of certain benefits is not tax-deductible. To determine how much of your gift is tax-deductible, subtract the following amounts from your donation according to level: $10 from Contributor Level, $15 from Sponsor and Patron levels, and $40 from Benefactor Level.

Please return this card and your donation to:

Chamberdance
2121 Market Street
San Francisco, CA 94114