Contributor Information:

Name: ______________________________________________________

Street: ______________________________________________________

City: ________________________________ State________ Zip ________

Phone(s): ___________________________________________________

Email: ______________________________________________________

Amount of Contribution: _________________________________________

Date: _______________________________________________________

 

Please make checks payable to: Bronx River Art Center.

Mail to: Bronx River Art Center P.O. Box 5002 Bronx, NY 10460
Call 718-589-5819 with any inquiries.