Donation Form

Please print the form using the printer button to the right and mail with your contribution.

I want to contribute to the community development of District A as a
___ Resident   ___ Artist   ___ Businessperson   ___ Community Service provider.
(Check all that apply.) 

Name_____________________________________________   

Address___________________________________________ 

Email & Phone______________________________________________________ 

____ $ 50    ____ $ 100    ____$ 250    ____$ 500    OTHER_________________ 

Make checks payable to District A.   

MAIL to District A, 6463 Kennedy Avenue, Cincinnati OH 45213. 

Every gift counts and every donation is tax-deductible. 
Your cancelled check will serve as a receipt for gifts under $250,
and larger gifts will receive a written acknowledgement. 
THANK YOU for all your support.