Donate to the Gene Siskel Film Center

Thank you for your generosity and support of Chicago's premier movie theatre. We sincerely appreciate your support!

Please complete the appropriate form sections below.

Your information

Name	First* Last*
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Address	Street* Apartment/suite City* State* Country*
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Phone numbers	Home* (ex: 123-456-7890) Business
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Second member information

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Address	Street* Apartment/suite City* State* Country*
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Contribution information

1,00050025010080502512

Other

Please make my gift	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 or over the phone by calling the Gene Siskel Film Center office at (312) 846-2600.

See you at the movies!