YES! I would like to support FOR-SITE’s presentation of SPONSORSHIP LEVEL Please select a sponsorship level below. $50,000 Trailblazer * 8 VIP tickets to Opening Night * Recognition in exhibition signage, brochure, & web * Opportunities for limited edition artworks $50,000 Trailblazer ($48,400 is tax-deductible) $25,000 Entrepreneur * 8 VIP tickets to Opening Night * Recognition in exhibition signage, brochure, & web * Opportunities for limited edition artworks $25,000 Entrepreneur ($23,600 is tax-deductible) $10,000 Champion * 8 VIP tickets to Opening Night * Recognition on website * Opportunities for limited edition artworks $10,000 Champion ($9,400 is tax-deductible) $5,000 Activist * 4 VIP tickets to Opening Night * Recognition on website * FOR-SITE commemorative gift $5,000 Activist ($4,775 is tax-deductible) Other Please accept my contribution (fully tax-deductible) I/We would like my/our contribution to be fully tax-deductible and decline associated benefits. $ CONTACT INFORMATION Please fill out the contact information below. Name * First Name Last Name Name(s) as you would like to appear for recognition purposes Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * Country (###) ### #### Payment Information Please select a payment method from the options below. Check to be sent, payable to FOR-SITE Foundation Check to be sent from foundation or donor-advised fund Credit card (Please fill in your card information below if you select this payment method.) Credit Card Type Visa Mastercard AMEX Card Card Number Exp. Date (MM/YY) Security Code Zip Code Signature Stock or electronic funds transfer. Call 415.362.9330 for further information. Send me a pledge reminder. I intend to make a gift in the date below: MM DD YYYY My company offers a match for charitable contributions. Please follow up with me. Thank You For Your Support! Black Gold: Stories Untold
