THE HORTICULTURAL ALLIANCE OF THE HAMPTONS
PREVIEW PARTY
DONOR FORM
Please print, fill out and return this form with your payment information by mail.
NAME* _______________________________________
ADDRESS _____________________________________
(mailing address)
BUSINESS NAME*______________________________
ADDRESS______________________________________
(mailing address)
Telephone ______________________Email _____________________________
I (We) would like to attend the Preview Party and Support HAH Programs as:
Underwriter: $1,000 _____ Benefactor: $500 _____
Sponsor: $250 _____ Patron: $150 _____
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I (We) would like to make payment by:
CHECK $_________.
Please make checks payable to The Horticultural Alliance of the Hamptons
and mail to P. O. Box 202, Bridgehampton, NY 11932
CREDIT CARD $____________ Please print your credit card information below.
Name (as on the card): ________________________________________
Billing address: _______________________City: ____________Zip code: ________
Type of card: Master Charge______ Visa_______
Card Number: ____________________CVV2 Code: ________ Expiration Date: ______
Signature: ________________________________________
*Please, enter name (s) as you would like it (them) to appear on the Preview Party invitation.
THANK YOU FOR YOUR VERY GENEROUS SUPPORT