We appreciate your interest in contributing to the Vanderbilt Kennedy Center. Please print and mail the completed form to the following address:

Development Office
Vanderbilt Kennedy Center
VU Station B #357727
2301 Vanderbilt Place
Nashville, TN 37235-7727

Contact Information:

Name: _________________________________
Address: _______________________________________
_______________________________________
_______________________________________
Phone: _________________________________
Email: ______________________________________

How do you want to designate your gift? (Gifts of $1000 qualify you for Hobbs Society Membership)

Discovery
TRIAD
Summer Camps
Reading Scholarships
Other: ___________________________________________
Tribute Gift (choose type)
In Honor of Memory of ___________________________________________ (name of individual)
Name and address individual or family to whom we can send acknowledgement of your honor or memorial gift:
Name:___________________________________________
Street:____________________________ City:____________________________ State:____ ZIP:______________

Please select your contribution method(s):

Cash $__________________

Check $_________________

MasterCard Visa American Express Discover
Card No: ________ - ________ - ________ - ________
Exp Date: ______ / ______
Amount: $__________________
Signature: ___________________________
Vanderbilt Employee Payroll Deduction
SSN: ______________________
Amount: $__________________ (per pay period)
Duration: __________________________________________ (i.e., until further notice, 1 year, 1 month, etc.)
If your company matches charitable gifts, please mail appropriate forms to the aforementioned address.