Thank you for signing up to become part of the Town Hall Young Patrons Circle. 

The Town Hall is a non-profit 501 (c) (3) tax-exempt organization. All gifts are fully tax-deductible to the extent provided by law.

Recurring Amount*
Frequency*

Salutation
First Name*
Last Name*
Address*
City*
State*
Zip*
Phone*
Email*
Confirm Email*
Please sign me up for your e-newsletter
PAYMENT INFO
Gift Designation:
Payment Info
Acknowledgment
For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas). *acknowledgement and dedication information will be sent after the first donation (only).
Acknowledgment Name
MAKE YOUR GIFT IN SOMEONE'S HONOR/MEMORY
Dedication Type
Dedication Honoree Name
Personal note to be included with donation
Please send honor/memorial acknowledgement of this gift to (postal or email address):
Acknowledge by
First Name
Last Name
Address
Email
ANONYMOUS DONATION INFORMATION
I would like this donation to remain anonymous

Other Ways to Give

Give by Phone

You can make a gift by calling: 212-997-1003 ext. 16


Give by Mail 

You can also give by printing this form or and mailing to:

Development Office

The Town Hall

123 W43rd Street

New York, NY 10036