Street Address:

City/State/Zip:

Phone(s):

E-mail (for confirmation of your gift):

Does your company provides gift matching?

If yes, Company name:

Please underline the level of "dynamic" recognition:

• ff - Fortissimo ($1000 or more)
• f - Forte ($500 to $999)
• mf - Mezzo-forte ($250 to $499)
• mp - Mezzo-piano ($100 to $249)
• p - Piano ($50 to $99)
• pp - Pianissimo ($10 to $49)

Donation amount:

Name(s) as you would like them to appear in our concert program(s) for sponsor recognition:

Please mark:

• Okay to list in our website
• Prefer not to be recognized by name

Please make donations payable to "KCS" and mail to:
KCS DONATIONS
10313 NE 113th Pl
Kirkland, WA 98033

Thank you for supporting the arts with your donation!