CAP UCLA Artist Circle Members are a community of distinguished donors whose passion and support contribute to the vitality of our artistic program, CAP UCLA’s student engagement activities and our shared, dynamic role in the arts ecology of Los Angeles. For a list of CAP UCLA Artist Circle Member benefits please click HERE.

Questions about membership? Interested in purchasing a membership as a gift? Would you like to split your gift between CAP UCLA and Design for Sharing (K-12 arts education)? Please contact Alexander Barrera, Development Manager at 310.267.4463 or artistcircle@cap.ucla.edu.


Required fields are indicated with an asterisk (*).
Gift Information
ARTIST CIRCLE GIVING LEVELS
SelectDescriptionAmount
PATRON $2,500 ($2,162 is tax-deductible)
BENEFACTOR $5,000 ($4,692 is tax-deductible)
CHAMPION $10,000 ($9,254 is tax-deductible)
Sub-Total:
Tax-Deductible:
   

Grand Total:
Tax-Deductible:
 
Donor Information   

Personal
Title:
 
* First name:  
  Middle name:
* Last name:  
  Suffix:
UCLA graduation year(s):  

Spouse/Partner
  Name:  
  UCLA graduation year(s):

Joint Gift
* This is a joint gift with my spouse/partner:
 

Contact Information
* Street:  
 
U.S. Addresses  
*   City, State, Zip:
 
 
  
Non-U.S. Addresses  
  Non-U.S. City/County
  or Province/Postal Code: 		 
  Country:
 
* This address is my:  
* Home telephone:    
Business telephone:  

* E-mail address:  
* This e-mail is my:  

Gift Options
Matching Gift

  My/my spouse's employer will match my gift.
  Company name for matching gifts:
  This company is:
Tribute Gift
Please check this box if you would like to honor a family member, faculty member, business associate, community leader, or other with your contribution.
 
Payment
Payment method:
Additional Information
This gift is anonymous

     



If you have any questions about this donation, please contact Alexander Raúl Barrera Development Manager at 310.267.4463 or artistcircle@cap.ucla.edu.
Find out about the security features of this web page that protect your account information.
Click here to view disclosure statements to prospective donors.
50376O/M-2664


© 2002-2018 UC Regents