Thank You for Building a Bright Future at Roulette

By donating to Roulette's Future Fund, you are helping create a rich and sustainable future for Roulette and the artists and audiences we serve. Your contribution is matched, up to $150,000, by the Howard Gilman Foundation.

Please complete the form below and click on "Submit Donation" to make your tax-deductible donation to Roulette. (Fields denoted with "*" are required)

$25

$50

$100

$250

$500

$1,000

Other $

Salutation

First Name*

Last Name*

Address

City

State

Zip*

Phone

Email*

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Card Type*

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Expiration Month*

Expiration Year*

Card Security Code*

Double (or triple) my gift

My company will match my donation. (enter company name and url, if applicable.)

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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

Special Notes

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Other Ways to Give:

Should you have any questions about making a donation or you would like additional information about our giving programs, please do not hesitate to contact Emily Bookwalter, Director of Development, at (917) 267-2440 or emily@roulette.org.

Checks should be made payable to Roulette Intermedium, Inc. and mailed to:

Roulette Intermedium
228 West Broadway, 2nd Floor
New York, NY 10013
Att: Jim Staley / Roulette Intermedium