Print this form, complete, and mail it to:
Development Department
Ballet Tech
890 Broadway
New York, NY 10003


Contribution Form

Thank you for your support!

$5,000 $2,500 $1,000 $500
$250 $100 $50 Other $ ___________


Enclosed is my check payable to: Ballet Tech Foundation, Inc., or


Please charge my American Express, Visa, or MasterCard.



Card number Exp. Date



Signature



Name



Address



City State Zip



Telephone (Day) Telephone (Eve)



Email



Please print your name as you wish to be recognized, if different than above.

Please treat this as an anonymous gift.

Matching Gifts: Your contribution can be doubled or tripled if your company
has a matching gift program - please check with your employer for details.
(If your employer's matching gift program supports only educational institutions, please remember that we are also a school!)

All contributions are tax-deductible to the extent provided by law.

A copy of the most recent annual financial report may be obtained by contacting:
New York State Dept. of State, Office of Charities Registration, Albany, NY 12231, or Ballet Tech.