Step 1: Donation Amount
I would like to support American Theater Company with a tax-deductible donation.
If your donation is for the TEAM 25 campaign, who is your team captain?
not applicable
Elizabeth Antonucci
Jason and Amy Gerace
Lynne Pace Green
Michael Green
Lois Hobart
Eleanor Hyde and Ashley Wolfe
David Katz
Katie Klemme
Wyllys Mann
Jennifer Newberry
Michael Newberry
PJ Paparelli
Lisa Parker Freeman
Sara Platte
Sadieh Rifai
Emily Ritger
Julie Saltzman
Jonathan Verge
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GIFT AMOUNT
$25
$50
$75
$100
$250
$500
Other
Other amount $
Please use the space below to tell us how you would like your gift recognized.
Step 2: Contact Information
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Title
Dr.
Mr.
Mrs.
Ms.
Miss
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First Name
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Last Name
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St
reet Address
Address Line 2
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City
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State
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Zip Code
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This is my
Billing and Mailing Address
Billing Address only - Please use my Mailing Address below
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Phone Number
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E-Mail Address
Step 3: Billing Address (if different from above)
Company Name (if a work address)
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Step 4: Credit Card Information
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Name on Card
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Credit Card Type
Visa
MasterCard
American Express
Discover
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Credit Card Number
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Expiration Date (mm/yy)
Step 5: Confirmation
E-Mail Address to Send Receipt After Confirmation
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Indicates Response Required