Gene Siskel Film Center

I would like to purchase or renew a Gene Siskel Film Center membership for someone else at the following level:

Membership type:

Individual — $50 Dual — $80

VIP — $1500 - Good for free admission for 2 for a year!

Gift Purchaser

Name	First* Last*
Address	Street* Apartment/suite City* State* Country*
Zip code*
Phone numbers	Home* (ex: 123-456-7890) Business
Email address*

Gift Recipient

Name	First* Last*
Address	Street* Apartment/suite City* State* Country*
Zip code*
Phone numbers	Home* Business
Email address*

Dual Gift Recipient

Name	First* Last*
Address	Street* Apartment/suite City* State* Country*
Zip code*
Phone numbers	Home* Business
Email address*

For any gift membership questions please contact us at gsfcmembership@saic.edu

See you at the movies!

I would like to make an additional tax deductible donation to the Film Center

Contribution information

1,00050025010080502512

Other

Please make my gift	Next 50 Years Fund: In Honor of Jean de St. Aubin The Gene Siskel Film Center Annual Fund Support for the Black Harvest Film Festival In memory In honor
For
	For gifts of $1,000 or more, please list your name(s) as you would like them to appear in The Art Institute of Chicago and the Gene Siskel Film Center's acknowledgements and programs listings:

	I will be seeking a matching gift from my employer
	Company name Anticipated Match Amount
	Please mail matching gift information to: Gene Siskel Film Center 164 North State Street Chicago IL 60601

You may also purchase a membership in person at the box office during opening hours. For any questions call us at (312) 846-2600 or email us at gsfcmembership@saic.edu.

See you at the movies!

Gene Siskel Film Center Gift Membership