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2022 East Hampton Artists & Writers Donation Form
Amount
*
$500
-
Single Sponsorship
$1,000
-
Double Sponsorship
$2,500
-
Triple Sponsorship
$5,000
-
Homerun Sponsorship
$10,000
-
Grand Slam Sponsorship
$10
-
One Raffle Ticket
$40
-
Five Raffle Tickets
$100
-
Fifteen Raffle Tickets
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Contact Information
Title
select one
Mr. & Mrs.
Mr.
Ms.
Mrs.
Dr.
Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Checkboxes
Is this a GIFT made in honorarium or memoriam?
YES
NO
If YES, please specify below the Individual's Name, If It's Made in Honor or Memory, Address and/or Email where we can send our acknowledgement and any additional comments. Thank You.
Add 3% to my total amount to help cover the payment processing fees