Donation & Opportunities Form Last Name First Name Company Name (if applicable) Address 1 Address 2 City, State, Zip Your Email Your Phone Acknowledgement A. Listed Acknowledgement I wish to the acknowledged for this donation to be listed as: examples: John Smith,  Mr. and Mrs. John Smith, The Smith Furniture Galleries of Galena, Jenny and Kevin Smith. B.  Anonymous I prefer to have the donation unrecognized (as anonymous) Other I would like to learn more about volunteer opportunities I would like to know more about becoming a Fox Valley Repertory Board Member I would like to know more about Company Sponsorships Send me information on subscription series packages Send me information about The FVR Performing Arts Academy classes My gift will be matched by (please type company name): Amount Choose an Amount ... $5.00 $25.00 $50.00 $100.00 $250.00 $500.00 $1000.00 Choose another amount continue