Your support is important to us!

DONATION FORM

To contribute your gift, please print and complete the Donation Form on this page;

return it with your contribution to:

Sachiyo Ito and Company

405 West 23rd St., Suite 4G

New York, NY 10011 

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I would like to make the following tax-deductible gift of (check one):

__$35 __$50 __$100 __$500 __$500 __$1,000 __$2,500
__Other $_____

Donor Information: (please print clearly)

First Name_____________________ Last Name___________________

Organization ______________________________________________

Title _____________________________________________________

Address _________________________________________________

City __________________________ State _____ Zip Code __________

Phone (necessary if paying with credit card)___________________________

Email _________________________ Website ________________

Gender _______________________ Ethnicity ________________

Please check here __ if you would like to receive e-Calendar/News.

Select Payment Option:

Credit Card: ___ VISA ___ MasterCard ___ American Express

Card Number: _________________________ Expiration Date _______

Signature:_______________________________________________

___ Personal Check (make check payable to: Asian American Arts Alliance)

___ Corporate Matching Gift (Enclose employer's form)