Pledge & Donation Form

Pledge & Donation Form

It's time. It's an investment. It will take all of us.
Donor Contact Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Gift & Pledge Information
Total Gift/Pledge Amount*
Gift Options: All pledges to the Second Century Campaign must be fully paid by December 1, 2027. (please select one)*
Pledge Details: Please note your Monthly or Yearly gift schedule below.*
Recognition Preference: Please list your name(s) as you wish them to appear in program listings and signage for the Second Century Campaign:*
Do you wish to remain Anonymous?*
If you intend your gift/pledge to Name a Seat, your contribution will be recognized with a personalized plaque on the selected seat. Please fill out the section below to indicate your preferred seat and its inscription.(Leave blank if you do not want your donation to name a seat)
Please list your preferred seat(s) based on the above selection.
Please list your Inscription (up to 2 lines, 28 characters per line, per seat).
Please note: Seat locations will be assigned on a first-come, first-served bases within the selected section. A representative from The Grand will contact you regarding available seat selection if your preferred seat is unavailable.
Gift Payment Options
Payment Information: (check one)*
Donor Agreement

I hereby agree to make the above-stated donation to the Performing Arts Foundation. I understand that this donation is irrevocable and will be used to support The Grand Theater's Second Century Campaign. I authorize the Performing Arts Foundation to process my payment information as indicated above.
Signature*
Date*

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Date
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Pledge & Donation Form

Gift & Pledge Information

Gift Payment Options

Donor Agreement