Donation form



Please fill in the form then print and mail or fax to International Storytelling Center 116 W. Main St. Jonesborough, TN 37659	Fax: 423-913-8213 Phone: 800-952-8392 or 423-913-8211

Or you can call (800) 952-8392 to give your donation by VISA or Mastercard.

Yes! I would like to join one of the Circles of Partnership. Please check one.
Friends Circle $50-$99 Regents Circle $100-$249 Ambassadors Circle $250-$499 Presidents Circle $500-$999 Center Circle $1,000 or more.

Your Name:
Email:
Company Name:
Address:
City:
State:
Zip:
Country:
Daytime Phone:
May we address you by your first name? Yes No
If not, what name would you prefer?


Ways to Contribute	Your contribution is tax-deductible
Check or money order enclosed Amount
Visa Mastercard Discover
Credit Card Number
Expiration Date Signature: ______________________________