Dancers' Circle Participation Level
Champion ($5,000)
Aficionado ($2,500)
Devotee ($1,500)
Enthusiast ($1,000)
Patron ($750)
Supporter ($500)
Friend ($250)
Other
Note: Check donations are accepted at the Front Desk without completing this form.
Please type in your preference for donor recognition:
Examples: The Smith Family; Mr. and Mrs. Smith; Mary and John Smith
Comment / Note:
Contact Information
Do you have a dancer who is a member of RDT?
Yes
No
Dancer's Name(s):
Name
*
Phone Number
*
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Area Code
Phone Number
Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Total Donation Amount from your selection above:
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Amount to be Charged to Credit Card
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