Donation Information

Please complete the form below and click on "Submit" to make your tax-deductible donation.

To submit this form, all "*" fields must be filled in.

$15

$25

$50

$100

$250

Other $

If you would like to make a monthly donation, please click the link on the right.

Salutation

First Name*

Last Name*

Company

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*

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

I would like this donation to remain anonymous

Dedication Information (Optional)

Dedication Type

Dedication Honoree Name

Personal note to be included with donation

Dedication Acknowledgment Information

Acknowledge by

First Name

Last Name

Address

Other Ways to Give

Click here if you would like to schedule a recurring donation

Give by Phone

You can make a gift by calling:

(206) 325-8773

Give by Mail

You can also give by printing this form and mailing to:

Velocity Dance Center
1621 12th Avenue, Suite 100
Seattle, WA 98122