Donor Tree Form

On-Line Donor Tree Form

NOTE: You will select your donation amount once you :"submit" this form

$125 Donation 3" x 5" Oval Plaque up to 2 Inscription Lines	$500 Donation 4" x 7" Oval Plaque up to 2 Inscription Lines	$1000 Donation 6" x 10" Oval Plaque up to 3 Inscription Lines
Plaque Inscription Information
Inscription Line1:		*Up to 12 Characters
Inscription Line2: (optional)		*Up to 12 Characters
Inscription Line3: $1000 donation Only (optional)		*Up to 12 Characters
		*Need more than 12 characters? click here

Your Information
A letter will be sent to you from the Sculpture Park, acknowledging the donation

Donor Name:

Donor Address Line 1:

Donor Address Line 2:

Donor City, State Zip:

Donor Phone:

(in case we have questions regarding your order)

Donor E-Mail:

Recipient Information (optional)
A notification letter will be sent from the Sculpture Park to the Recipient (if different than Donor) recognizing the donation made

Recipient Name:

Recipient Address Line 1:

Recipient Address Line 2:

Recipient City, State Zip:

Any Additional Notes or Comments:

any comments or questions about the technical aspects of this website are welcomed at webmaster@sculpturepark.org

Skokie Northshore Sculpture Park
P.O. Box 692 - Skokie, IL 60076-0692

Tel: 847/679-4265 - Fax: 312/664-2641 - E-Mail: info@sculpturepark.org

www.sculpturepark.org