$50    $100    $250    $500    $1,000   
$2,500*     $5,000    Other $______ (Gifts of all sizes are welcome!)

*Bay Area sponsors at this level and above are entitled to a free KITKA performance (subject to availability) at a special event of their choice.

Check enclosed (Payable to KITKA)
Bill my    Visa    Mastercard
in a    one-time    monthly    quarterly installment(s) of $

Account No.

Expiration Date

Signature

Name

Address

City/State/Zip

Phone (day/eve)

Fax

E-mail

    Any printed acknowledgment of my gift should read:
    I prefer to remain anonymous

    My company will match my gift: Company name
    Completed matching gift form enclosed

Please contact me about  
     Volunteer opportunities    Professional services I can offer

My area of interest is:

Thank you for your support!