____My employer will match my gift

FRIEND: UP TO $250_____
PATRON: UP TO $500_____
SPONSOR: UP TO $1000____
ANGEL: ABOVE $1000____

Contributions of $500 and above will allow donor to attend the private workshops and ceremonies.


Name ___________________________________________

Address __________________________________________

City, State, Zip _____________________________________

Phone ________________ Email _____________________

Organizational affiliation (optional) ______________________

Enclosed is my tax-deductible financial contribution of:

[ ] $25 [ ] $50 [ ] $100 [ ] $250 [ ] $500
[ ] Other ___




Please make checks payable to "The Gathering For Ecoculture/The Tides Center" and mail to:
The Gathering for EcoCulture/The Tides Center
58 Cloudview Road
Sausilito, CA 94965

Thank you.