1
donate Vitalize: the benefactor program for supporters of Vitalstatistix. By donating to Vitals you are contributing to the development and presentation of provocative, distinctive and challenging performance and interdisciplinary arts projects that reflect contemporary imagination. All donations, large or small, are gratefully received and directed towards: Incubator, our residency program, supporting independent artists to develop new work. Vital Voices, presenting new works by distinctive, new, outsider, and need-to-be-heard voices. Contemporary Communities, building teams of professional artists around community agitators, participants, informants and non-artists to explore contemporary experiences through the creation of new work. Waterside Workers Hall, our venue. This is a significant, real way you can assist the company, and donations of $2.00 or more are fully tax deductible. I wish to make a donation of $.......................... I have paid by direct credit to the Westpac Bank Account: Vitalstatistix BSB: 035-055 Account: 285 672 I enclose a cheque/money order payable to Vitalstatistix I authorize my credit card to be debited Visa Mastercard Cardholder name:………………………………………………………… Card Number Expiry / Signature:…………………………………………………… Vitalstatistix is listed on the Register of Cultural Organisations under Subdivision 30-BA of the ITAA 1997. Name …………………………………………………………………………………… Phone …………………………………………………………………… Street Address……………………………………………………………………… Mobile…………………………………………………………………… Suburb ………………………………………… Postcode……………………… Email…………………………………………………………………… PLEASE RETURN TO: Vitalstatistix, 11 Nile Street, Port Adelaide SA 5015 Phone 8447 6211 Email [email protected]

Vitalize donations form

Embed Size (px)

DESCRIPTION

Vitalize donations form- how you can support Vitalstatistix

Citation preview

Page 1: Vitalize donations form

donate Vitalize: the benefactor program for supporters of Vitalstatistix.

By donating to Vitals you are contributing to the development and presentation of provocative, distinctive and challenging performance and interdisciplinary arts projects that reflect contemporary imagination. All donations, large or small, are gratefully received and directed towards:

Incubator, our residency program, supporting independent artists to develop new work.

Vital Voices, presenting new works by distinctive, new, outsider, and need-to-be-heard voices.

Contemporary Communities, building teams of professional artists around community agitators, participants, informants and non-artists to explore contemporary experiences through the creation of new work.

Waterside Workers Hall, our venue.

This is a significant, real way you can assist the company, and donations of $2.00 or more are fully tax deductible.

I wish to make a donation of $..........................

I have paid by direct credit to the Westpac Bank Account:

Vitalstatistix BSB: 035-055 Account: 285 672

I enclose a cheque/money order payable to Vitalstatistix

I authorize my credit card to be debited Visa Mastercard

Cardholder name:………………………………………………………… Card Number

Expiry / Signature:……………………………………………………

Vitalstatistix is listed on the Register of Cultural Organisations under Subdivision 30-BA of the ITAA 1997.

Name …………………………………………………………………………………… Phone ……………………………………………………………………

Street Address……………………………………………………………………… Mobile……………………………………………………………………

Suburb ………………………………………… Postcode……………………… Email……………………………………………………………………

PLEASE RETURN TO: Vitalstatistix, 11 Nile Street, Port Adelaide SA 5015 Phone 8447 6211 Email

[email protected]