Dancers' Circle Participation Level
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:
Do you have a dancer who is a member of RDT?
Street Address Line 2
State / Province
Postal / Zip Code
Total Donation Amount from your selection above:
( X )
Amount to be Charged to Credit Card
Credit Card Details
Should be Empty:
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