Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Mail-In Donatin Form
Please complete the information below for donations larger than $4,000. After submitting the form, please mail your check to Shawnee Hills Art Council, 125 West Davie Street, Anna, IL, 62906. If you have questions, please email
daviestreetproject@shawneehillsart.com
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Contact Name
*
First
Last
Business Name
If Applicable
Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Indicate Your Level of Support
*
Video Board Sponsor: $75,000
Turf Sponsor: $50,000
Platinum Sponsor: $15,000
Diamond Sponsor: $10,000
Gold Sponsor: $5,000
Only Remainging Levels of Support Are Shown
How would you like your name to appear in the sponsorship area?
*
Please enter your name(s) or businesss name.
Submit
Close this module
Newsletter Signup
Subscribe to our newsletter below and never miss the latest SHAC updates!
Email
Enter your email address
Subscribe
We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it.
Accept
Privacy Policy
