Print Form to Make a Difference.

THE ARTISTS COLLECTIVE Inc.

1200 Albany Ave.
Hartford, CT 06112
(860) 527-3205

Yes I want to make a difference.
Here's my tax - deductible contribution to the Artists Collective Capital Campaign:

$ ____________ Annual Membership is....$25.00

$ ____________ The Annual Fund

$ ____________ The Doris Duke JazzNet Initiative Endowment which will match your contribution. ($2.00 given for each $1.00 donated)

$ ____________ Please use my donation where appropriate

	(payable to The Artists Collective).

Name ___________________________________________________

Address _________________________________________________

_________________________________________________________

City _____________________________________________________

State ________________________________Zip_________________

Contributor's Signature ___________________________________

Date __________________ Phone ____________________________

Email ___________________________

Does your employer have a Matching Gift Giving Program?
If so, your contribution could be matched dollar-for-dollar. Please ask your employer for the necessary form and enclose it with your contribution.

Mail To:
The Artists Collective, Inc.,
1200 Albany Ave.
Hartford, CT 06112

For more infomation call (860) 527-3205


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