1220 E. First St., Wichita, KS 67214-3907   |   (316) 269-9300  Fax: (316) 269-9191    |    DECORATIVEPAINTERS.ORG

                                                         FOUNDATION CROWN DONATION FORM                                                     

May - December 2018

The SDP Foundation Crown Program offers a giving opportunity for its members and chapters to be acknowledged for supporting SDP and the art of decorative painting. Donations will go to the SDP's Foundation, which is a 501(c)(3) and is tax-deductible. Please see you accountant for tax details. This is a printable form.

 

  • DONATION OPTIONS PLEASE CHECK APPROPRIATE BOX AND WRITE IN THE AMOUNT OF YOUR DONATION.

           ___ $1000+   Diamond  _________________________                 ___ $250+      Rudy        ___________________________

           ___ $500+     Emerald    _________________________                 ___ $100+      Sapphire ___________________________

____________________________________________________________________________________________________________________

  • INDIVIDUAL (PLEASE PRINT)

    NAME ________________________________________________________________________________________________ MEMBER NO. ______________________________

MAILING ADDRESS _________________________________________________________________________________________________________________________________

CITY _________________________________________ STATE/PROV. _____________________ZIP/POSTAL CODE ______________________ COUNTRY_______________

EMAIL ________________________________________________________________________

HOME PHONE (______) ______________________________ CELL PHONE (_________) ___________________________ FAX (______) ________________________________

*The Society of Decorative Painters Foundation is a 501(c)(3)

_____________________________________________________________________________________________________________________________

  • CHAPTER (Please Print)

CHAPTER NAME_______________________________________________________________________________________________________________________________________

PRESIDENT/TREASURER NAME_____________________________________________________________MEMBER NO. __________________________________________

MAILING ADDRESS _________________________________________________________________________________________________________________________________

CITY _________________________________________ STATE/PROV. _____________________ZIP/POSTAL CODE ______________________ COUNTRY_______________

EMAIL ________________________________________________________________________

HOME PHONE (______) ______________________________ CELL PHONE (_________) ___________________________ FAX (______) ________________________________

*The Society of Decorative Painters Foundation is a 501(c)(3)

____________________________________________________________________________________________________________________

  • PAYMENT INFORMATION CHECK OR MONEY ORDER IN U.S. FUNDS ONLY; FOR CREDIT CARD PAYMENTS, THE CVV CODE AND THE BILLING ADDRESS SHOULD BE SUBMITTED WITH PAYMENT, IF DIFFERENT FROM MAILING ADDRESS ABOVE OR CALL THE OFFICE (316) 269-9300.

    ___ Check     ___Money Order    CREDIT CARD: ___ AMERICAN EXPRESS  ___ DISCOVER  ____MASTERCARD ___ VISA   TOTAL _________________________

CARD NUMBER ____________________________________________________________________________________      EXPIRATION DATE __________________________

SIGNATURE ________________________________________________________________________________________       CVV CODE ____________________

MAKE CHECKS PAYABLE TO: SDP  Mail to: Society of Decorative Painters, Attn: Foundation Donation, 1220 E. First St., Wichita, KS 67214-3907

or FAX FORM TO: (316) 269-9191

Thank You for Your Donation!