THANK YOU FOR JOINING THE NORTHERN STAGE FAMILY OF DONORS

As a not-for-profit organization, Northern Stage thrives because of the generosity of our donors. You help us bridge the 55% gap between sales and expenses. You afford us the freedom to reach new heights of theatrical excellence. You make extraordinary theater in the Upper Valley possible.

Please complete the form below and click the "submit" button to make your tax-deductible contribution to Northern Stage. To submit the form, all "*" fields must be completely filled in.

PLEASE NOTE: Currently, this form is available for one-time donations only. If you are interested in creating a monthly or quarterly payment plan, or setting up an on-going sustaining donation, please contact development@northernstage.org or 802-296-7000 ext 117.

GIFT AMOUNT*

DONOR INFORMATION

First Name*

Last Name*

Salutation

Street Address or P.O. Box*

City*

State*

Zip*

Best Phone to reach me*

Other Phone

Email*

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Yes, I want to receive e-news and offers!

PAYMENT PREFERENCES

Card Type*

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Expiration Month*

Expiration Year*

Card Security Code*

I plan to apply for a matching gift from my employer

Company

GIFT ACKNOWLEDGMENT

I wish to be acknowledged for this gift as

(please insert name/s and separate multiple names by commas)

I would like this donation to remain anonymous

DEDICATION INFORMATION (optional)

Dedication Type

Dedication Honoree Name

Please inform the above honoree of my dedication.

Acknowledge by

Please send the honoree this personal note (100 characters max)

First Name

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Address

DONOR BENEFITS

ANNUAL FUND ($1 - $499)
Listing in the playbill
E-news updates and special offers

DIRECTOR'S CIRCLE ($500+)

Insider Events;

Concessions Coupons;

Ticketing benefits;

And so much more!

Please click here for details.

OTHER WAYS TO GIVE

Phone
802.296.7000

Mail

    Northern Stage
    Attn: Development
    PO Box 4287
    White River Junction, VT 05001

QUESTIONS?
Amanda Rafuse
Director of Development
802.296.7000 ext 117
arafuse@northernstage.org