Please complete and return with check made payable to:

College Community Arts Council
7600 Lake Campus Drive
Celina, OH 45822
Please indicate your gift amount:



Benefactor
$1000.00 and above        $__________

Sustainer    $500.00 to $999.00          $__________

Patron         $100.00 to $499.00          $__________

Sponsor      $50.00 to $99.00              $__________

Friend         $5.00 to $49.00                $__________



Name________________________________________

Address______________________________________

City__________________________State____________

Email_________________________________________

Phone(______)_______________-_________________




Thank you for your support of the arts in your area.

Dr. Martin Kich
President