GIVE THE GIFT OF A PROFILE DONATION

Profile Theatre gift donations can be made in honor of friends and
relatives for any occasion and allows us to continue creating great theatre
for the Portland community.

Please fill out the following form to make a donation as a gift. Make sure
to fill in the Dedication Acknowledgment Information so we can alert the
recipient of this gift.

Amount of Gift:*

GIFT RECIPIENT INFORMATION

Dedication Type

Dedication Honoree Name

Personal note to be included with donation

GIFT RECIPIENT ACKNOWLEDGEMENT INFORMATION

Acknowledge by

First Name

Last Name

Address

ACKNOWLEDGEMENT

For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas).

Name(s) to acknowledge (If you would like to remain anonymous, please enter "anonymous"):*

I would like this donation to remain anonymous

BILLING AND PAYMENT INFORMATION

Salutation

First Name*

Last Name*

Employer

Address*

City*

State*

Zip*

Phone*

Email*

Confirm Email*

Please sign me up for your e-newsletter

Card Type*

Card Number*

Expiration Month*

Expiration Year*

Card Security Code*

Other Ways to Give

Give by Phone:
503.242.0080

Give by Mail:
Profile Theatre
P.O. Box 14845
Portland, OR 97293