Donation Form

Please print this page.

YES! I want to help Kaleidoscope Theatre Company enrich the lives of children and their families in the Washington, D.C. metropolitan area. Enclosed is my unrestricted, tax-deductible contribution.

First Name _______________________

Last Name _______________________

Address ______________________________________________________________________________________________________________

City _________________________

State _______  Zip _________-______

Phone (_______) ___________________________

email ________________________________________________

Enclosed is my check or money order in the amount of $__________ made payable to Kaleidoscope Theatre Company. 

O My employer has a Matching Gift program. My form is enclosed.

O I and/or my employer would like to talk with you further about opportunities to underwrite a production or fund other programs Kaleidoscope Theatre Company offers.

O I understand that I will be listed by my first and last name on your Web site and in performance programs as a Patron, unless I check here ____ to be listed as "anonymous" or:

O I would like my donation to be listed in memory of _________________________ or under my family name, ________________. For an alternate listing, please e-mail info@ktheatre.org or call (703) 912-4005.