BCA Capital Campaign Form

Belton Center for the Arts
Capital Campaign 2007 Form

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DONOR RECOGNITION & NAMING OPPORTUNITIES (ü Check)
Naming Opportunities		Wall of Honor
Clerestory Window	$15,000	$10,000
Upstairs Gallery (spoken for)	$10,000	$5,000
Stairs	$10,000	$2,500
Classrooms	$5,000	$1,000
Balcony Railing	$5,000	$500
Stair Railing	$3,000	$250
		$100

One-Time Gift	Two-Year Pledge
One-Year Pledge	Three-Year Pledge

Donor Recognition (ü Check & Type)

Please recognize my donation as:
A Gift From

Please recognize my donation as:
In Honor Of

Please recognize my donation as:
In Memory Of

Please recognize my donation as: Anonymous

Name

Address City State Zip

Phone: Day Evening Email

Please select your method of payment (ü Check & Type)

Check enclosed, made payable to BCA Check #
Charge my credit card: MasterCard	Amex	Visa	Discover
Signature ___________________________
Card Number Expiration Date

Amount of Donation $

GIFT BY Mail
Send this order form with your check or credit card payment to:
The Belton Center for the Arts, PO Box 368, Belton, SC 29627

GIFT BY PHONE
Have your credit card ready and call the Belton Center for the Arts
at (864) 338-8556 or fax this form to (864) 338-0280.

Thank You For Your Donation