Patron Donation Form

I wish to support the Hayward Area Recreation and Park District's PhotoCentral Program by becoming a Patron in the following category:

____ $25 Contributing Patron

____ $50 Supporting Patron

____ $100 Sustaining Patron

____ $200 Silver Patron

          Print choice: Collector's Fine Print by Kate Jordahl

____ $300 Silver Patron

          Print choice: Collector's Fine Print by Geir Jordahl

____ $500 Platinum Patron


Enclosed is my check for $__________________ 

made payable to PhotoCentral.

Name _______________________________________________________

as it will appear in program

Address ____________________________________________________

City __________________________State _____ Zip _____________

Day Phone _______________________________________

Mail to:

PhotoCentral c/o H.A.R.D.

1099 E Street, Hayward, CA 94541

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Donations to PhotoCentral are tax deductible to the extent allowed by law.
If you have questions about the Patron Donation Program or PhotoCentral classes, workshops and darkrooms, call (510) 881-6721 or e-mail us at PhotCentrl@aol.com.