Contact Information

First Name *

Last Name *

Mailing Address *

Mailing Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

*Please note: Writers Theatre will never sell or trade your email address with a third party.

Annual Giving

Your credit card will be charged only once.

One-Time Donation Amount*

*(Please omit any symbols, such as $)

Additional Information

Designation *

Artistic Excellence

Literary Development Initiative

Education and Outreach Programs

Area with greatest need

Donor Listing (for gifts $200 per year):

I wish for my gift to remain anonymous.

I wish for my name(s) to appear as follows: I wish for my name(s) to appear as follows:

I wish to make this gift

in honor of

in memory of

Notes

Payment Information

Name on Card *

Credit Card Type *

Credit Card Number *

CVV Code * 🛈

Expiration Date (mm/yy) *

Please note: you will have the opportunity to review your order before we charge your credit card.

Billing Information

My billing address is the same as my mailing address above

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Email Address

*Please note: Writers Theatre will never sell or trade your email address with a third party.

If you have any questions regarding your donation, please contact the Development Department at 847-786-3513.

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WRITERS THEATRE
376 Park Avenue | Glencoe, IL 60022 | Box Office: 847-242-6000

Artists' Council ($15,000+)	Patron ($1,000-1,999)
Visionary ($10,000-14,999)	Advocate ($500-999)
Leader ($5,000-9,999)	Friend ($200-499)
Benefactor ($2,500-4,999)	Supporter ($50-199)
Distinguished Patron ($2,000-$2,499)