Make a Donation – Fulcrum Arts

Name*

First Last

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(if applicable)

Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Daytime Phone:*

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Option*

$25 – Digital Artworks
$50 – Fulcrum Arts Mug
$100 – Fulcrum Arts Tote Bag (Natural)
$100 – Fulcrum Arts Tote Bag (Black)
$200 – Digital Artworks, Mug, and Tote Bag (Natural)
$200 – Digital Artworks, Mug, and Tote Bag (Black)
Other Amount
Other Amount – I prefer to make a fully tax-deductible donation in lieu of a premium

Fixed Amount

Other Amount:

Gift Amount

$0.00

Credit Card