This page may not work correctly in your current browser, Internet Explorer. We recommend changing to a more modern browser before viewing this page. We recommend Chrome, Firefox, Safari, or Edge. Support Art & Artists with InLiquid Donation Form For your convenience, InLiquid also accepts gifts of stock. For more information about this, the Friends of InLiquid and our Collectors' Circle, please contact us at 215-235-3405, or email InLiquid at info@inliquid.org. Thank you! Suggested Donation Amounts: $25 $50 $100 - Associate $250 - Fellow $500 - Friend $1,000 - Sustainer $1,500 - Collectors Circle Other Amount $25 $50 $100 - Associate $250 - Fellow $500 - Friend $1,000 - Sustainer $1,500 - Collectors Circle Other Amount This is a one time donation Make this a recurring donation deducted Weekly Every 2 Weeks Monthly Every 2 Months Quarterly Every 6 Months Annually End Date: Prefix: Dr. Dr. and Mrs. Miss Mr. Mrs. Ms. Mx. First Name: Middle Name: Last Name: Suffix: Address: Address Line 2 City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Zip Code: - Zip Suffix Email: Phone: Donation in Honor or Memory of Tribute Type: Honor Memory Tribute Name: Company Match If your company offers matching donations, please let us know who to contact. Match Company Name: Company Contact: Email: Phone: Comment: Create an account If you would like to manage your account (i.e., view donation history, change address, etc.), please create a login name and password. Accounts are optional and are not required for donations. Thank you! Yes, I would like to receive communications from InLiquid by email. Yes, I would like to receive communications from InLiquid by phone. Yes, I would like to receive communications from InLiquid by mail. Billing Information Payment method: Credit Card E-Check Pay Later null E-Check payments can only be processed from United States banks. Pay By Check Card: Cardholder First Name: Cardholder Last Name: Zip Code: - Credit Card Zip Suffix Pay By Credit Card NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process. E-Check Billing Information NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process. I will mail in a check to: InLiquid, 1400 N. American St., Studio 314, Philadelphia, PA 19122 NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.
