We appreciate your interest in contributing to the Vanderbilt Kennedy Center. Please print and mail the completed form to the following address:
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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) |
|
Please select your contribution method(s):
Check $_________________
| Card No: | ________ - ________ - ________ - ________ |
| Exp Date: | ______ / ______ |
| Amount: | $__________________ |
| Signature: | ___________________________ |
| SSN: | ______________________ |
| Amount: | $__________________ (per pay period) |
| Duration: | __________________________________________ (i.e., until further notice, 1 year, 1 month, etc.) |