Patron Program Form - The J. Paul Getty Trust

Patron benefits are for up to two members of a household. Please indicate Patron cardholder name(s) below.

Patron Program Levels

Amount:

Friend

$ 1,000.00

Associate

$ 5,000.00

Fellow

$ 10,000.00

Partner

$ 25,000.00

Benefactor

$ 50,000.00

Patron Recognition

Recognition name:

1st Cardholder Name:

2nd Cardholder Name:

Is the Mailing Address same as Billing?:

Billing Information

Title:

First name:

Last name:

Country:

Address:

City:

State:

ZIP:

Phone:

E-mail:

Credit Card Information

Payment Method:

Credit CardDirect Debit

Cardholder's Name:

Credit Card Number:

Card Type:

Card Expiration:

Card Security Code:

For gifts of any other amount click here.

The Getty