Opera Lafayette - Donor Pledge Form

Opera Lafayette Donor
Pledge Form

Please fill out the pledge form and send it to us. Your generous contribution will help make it possible for us to develop both artistically and institutionally. We do not take credit card donations over the Internet, but you can make a donation using this form. We will send you an e-mail acknowledgement of your donation, and mail you a letter thanking you for your donation and for tax purposes, upon receipt of your check or credit card information (i.e., your VISA or MasterCard number, the name on the credit card, expiration date, the amount of the order and date, and your signature). Please make your check payable to "Opera Lafayette" and mail your check or credit card information to:

Opera Lafayette
10 Fourth Street, NE
Washington, DC 20002

Pledge Information (Review Opera Lafayette Donor Levels and Benefits.)
Yes, I would like to make a donation to support Opera Lafayette with the following gift. Please send me information about Opera Lafayette's donor benefits. Your donation is tax deductible less the dollar value of the donor benefits.
	Donors, Up to $99
	Friends, $100 - $249
	Citizens, $250 - $499
	Patrons, $500 - $999
	Ma�tres de Salon, $1,000 - $2,499
	Surintendants, $2,500 - $4,999
	Ministers, $5,000 - $9,999
	Royalty, $10,000 and above
$	Please enter the amount of your donation (numeric numbers only please).
	I would like all of my gift to go toward supporting Opera Lafayette, and decline any donor benefits.
	I would like my gift to remain anonymous.
Contact Information *Input required to respond to you.
Name*
Address*
City*
State*	ZIP*
e-mail*
Phone
	Check this box to save your Contact Information for future use. Thus, you will not have to reenter this data in subsequent visits to our site. If you don't check this box, Contact Information will be saved for this Internet session only.

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