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? Please contact Alana Barraj, Development Associate at 310.206.7848 or artistcircle@cap.ucla.edu.


Required fields are indicated with an asterisk (*).
Gift Information
ARTIST CIRCLE GIVING LEVELS
SelectDescriptionAmount
PATRON $2,500 ($2,457 is tax-deductible)
BENEFACTOR $5,000 ($4,957 is tax-deductible)
CHAMPION $10,000 ($9,957 is tax-deductible)
Sub-Total:
Tax-Deductible:
   

Grand Total:
Tax-Deductible:
 
Donor Information   

Personal
Title:
 
* First name:  
  Middle name:
* Last name:  
  Suffix:
    This is a gift on behalf of a company or organization
  Company/Orgnization name:
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
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Additional Information
This gift is anonymous
 
(You will be asked for your payment details on the next page, in Review Submission.)

 
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If you have any questions about this donation, please contact Alana Barraj, Development Associate at 310.206.7848 or artistcircle@cap.ucla.edu.
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