Please print this form and mail with your check to:

Italian Cultural Heritage Foundation of Santa Barbara, CA
2128 Piedras Dr.
Santa Barbara, CA 93108

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Yes, I would like to make a donation to the Italian Cultural Heritage Foundation of Santa Barbara, California.

Name: _______________________________________________________

Address: _____________________________________________________

Address 2: ___________________________________________________

City/State/Zip: _______________________________________________

Telephone: ___________________________________________________

E-mail: _______________________________________________________

 

Donation Information

Amount
  
          Category
   
    $25 ________
  Puccini level
    $50 ________
  Verdi level
  $100 ________
  Christopher Columbus level
  $500 ________
  Michelangelo level
$1000 ________
 

Leonardo da Vinci level
$5000 ________
  Dante Divine level
$   ________
   Other

 

     ______ I am interested in assisting ICHF with some of their events. Please contact me.