Holualoa Foundation for Arts and Culture
Donkey Mill Art Center

+ Friend
+ Patron
+ Contributor
 Up to $99
$100
$250 + Sponsor $500

LEADERSHIP CIRCLE

+ Associate
+ Founder
+ Benefactor
+ Visionary		 $2,000
$5,000
$10,000
$25,000

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NAME (PLEASE PRINT)

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ADDRESS

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CITY STATE POSTAL CODE

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COUNTRY

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PHONE (DAY) PHONE (EVENING)

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FAX E-MAIL
 □ Enclosed is my check in the amount of $________ to
Holualoa Foundation for Arts and Culture

Please charge my:
□ Visa □ MasterCard □ American Express

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CARDHOLDER’S NAME (AS IT APPEARS ON CARD)

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CARD #

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EXPIRATION DATE

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CARD HOLDER’S SIGNATURE

□ Unrestricted Donation □ Building Fund
□ Children's Programs □ Endowment Fund

□ One time for the entire amount
□ In quarterly installments
□ I have included HFAC in my will.
□ I wish to learn more about bequests and estate gifts
to HFAC.

The Holualoa Foundation for Arts and Culture is a 501 (c) 3 charitable organization. Contributions are deductible to the full extent allowed by the law.