2
2017 UPAF/Visions Campaign Pledge Form 1 2 3 4 Name Department Employee ID No. To receive gifts and benefits - box must be checked authorizing release of your name and address to the organizations you have designated below. X_____________________________________________________________ _______________________ Contributor’s Signature - Must sign to authorize deductions Date ______________________________________ ______________________________ __________________________ Home Address Home Phone # Work Phone # ______________________________________ ______________________________ __________________________ City State Zip Code 301 W. Wisconsin Ave. • Suite 600 Milwaukee, WI 53203 www.upaf.org Payroll Deduction Per Pay Period ($1.00 minimum/PP): $_______ $10 $5 $3 Annual (pledge x 26) $________ Check* (payable to UPAF) $_________________ TOTAL: $_________________ Milwaukee’s Cultural and Environmental Campaign 200 E. Wells Street Milwaukee, WI 53202 Milwaukee Public Library Foundation Milwaukee Public Museum Milw. Urban Forestry / Greening Milw. Schools Fund Milwaukee Art Museum Milwaukee Recreation Fund Milwaukee Arts Board Wisconsin Conservatory of Music Discovery World Milwaukee Public Schools Foundation, Inc. Milwaukee Housing Trust Fund 88Nine Radio Milwaukee Check(s)* (separate check for each group chosen) $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ $_________ Payroll Deduction Per Pay Period ($1.00 minimum/PP): Milwaukee Public Library Foundation $______ __ $10 __ $5 __ $3 Annual (pledge x 26) $__________ Milwaukee Public Museum $______ __ $10 __ $5 __ $3 Annual (pledge x 26) $__________ Milw. Urban Forestry / Greening Milw. Schools Fund $______ __ $10 __ $5 __ $3 Annual (pledge x 26) $__________ Milwaukee Art Museum $______ __ $10 __ $5 __ $3 Annual (pledge x 26) $__________ Milwaukee Recreation Fund $______ __ $10 __ $5 __ $3 Annual (pledge x 26) $__________ Milwaukee Arts Board $______ __ $10 __ $5 __ $3 Annual (pledge x 26) $__________ Wisconsin Conservatory of Music $______ __ $10 __ $5 __ $3 Annual (pledge x 26) $__________ Discovery World $______ __ $10 __ $5 __ $3 Annual (pledge x 26) $__________ Milwaukee Public Schools Foundation, Inc. $______ __ $10 __ $5 __ $3 Annual (pledge x 26) $__________ Milwaukee Housing Trust Fund $______ __ $10 __ $5 __ $3 Annual (pledge x 26) $__________ 88Nine Radio Milwaukee $______ __ $10 __ $5 __ $3 Annual (pledge x 26) $__________ TOTAL: $_________ Please see other side to confirm 2017 benefit levels. *If writing a check, write a separate check for each agency selected, payable to UPAF or the Visions group(s) chosen. Funds will be distributed as specified. Contributions are tax deductible to the full extent of the law. Return completed form to Solicitor. Thank You!

Name Department Employee ID No. 2017 2015 UPAF/Visions ......discounts on gift memberships; recognition in the MAM Annual Report; and more. Please call (414) 224-3284. for more information

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Page 1: Name Department Employee ID No. 2017 2015 UPAF/Visions ......discounts on gift memberships; recognition in the MAM Annual Report; and more. Please call (414) 224-3284. for more information

2017 UPAF/Visions Campaign Pledge Form

1

2

3

4

Name Department Employee ID No.

�To�receive�gifts�and�benefits�-�box must be checked authorizing release of your name and address to the organizations you have designated below.

X_____________________________________________________________ _______________________ Contributor’s Signature - Must sign to authorize deductions Date______________________________________ ______________________________ __________________________Home Address Home Phone # Work Phone #

______________________________________ ______________________________ __________________________City State Zip Code

301�W.�Wisconsin�Ave.�•�Suite�600Milwaukee, WI 53203

www.upaf.org

Payroll Deduction Per Pay Period ($1.00 minimum/PP):$_______� $10� $5� $3� Annual�(pledge�x�26)� $________Check* (payable to UPAF) $_________________

TOTAL: $_________________

Milwaukee’s Cultural and Environmental Campaign

200�E.�Wells�StreetMilwaukee, WI 53202

Milwaukee Public Library FoundationMilwaukee Public MuseumMilw.�Urban�Forestry�/�Greening�Milw.�Schools�FundMilwaukee Art MuseumMilwaukee Recreation FundMilwaukee Arts BoardWisconsin Conservatory of MusicDiscovery WorldMilwaukee�Public�Schools�Foundation, Inc.Milwaukee Housing Trust Fund88Nine Radio Milwaukee

Check(s)*

(separate check for each group chosen)

$_________$_________$_________$_________$_________$_________$_________$_________$_________$_________$_________

Payroll Deduction Per Pay Period ($1.00 minimum/PP):

Milwaukee�Public�Library�Foundation $______� �__�$10�� __�$5�� __�$3�� Annual�(pledge�x�26)�$__________Milwaukee�Public Museum� $______� �__�$10�� __�$5� �__�$3�� Annual�(pledge�x�26)�$__________Milw.�Urban�Forestry�/�Greening�Milw.�Schools Fund $______�� __�$10�� __�$5�� __�$3� Annual�(pledge�x�26)�$__________Milwaukee�Art�Museum $______� __�$10� �__�$5� �__�$3�� Annual�(pledge�x�26)�$__________Milwaukee�Recreation�Fund $______� �__�$10� �__�$5�� __�$3�� Annual�(pledge�x�26)�$__________Milwaukee�Arts�Board $______� __�$10� �__�$5�� __�$3�� Annual�(pledge�x�26)�$__________Wisconsin�Conservatory�of�Music $______� __�$10�� __�$5� �__�$3�� Annual�(pledge�x�26)�$__________Discovery�World $______�� __�$10�� __�$5�� __�$3�� Annual�(pledge�x�26)�$__________Milwaukee�Public�Schools�Foundation,�Inc. $______� __�$10�� __�$5� �__�$3�� Annual�(pledge�x�26)�$__________Milwaukee�Housing�Trust�Fund $______�� __�$10�� __�$5�� __�$3�� Annual�(pledge�x�26)�$__________88Nine�Radio�Milwaukee $______� __�$10�� __�$5�� __�$3� Annual�(pledge�x�26)�$__________

TOTAL: $_________Please see other side to confirm 2017 benefit levels.

*If writing a check, write a separate check for each agency selected, payable to UPAF or the Visions group(s) chosen. Funds will bedistributed�as�specified.�Contributions�are�tax deductible�to�the�full�extent�of�the�law.�

Return completed form to Solicitor. Thank You!

Payroll Deduction Per Pay Period ($1.00 minimum/PP):

*If writing a check, write a separate check for each agency selected, payable to UPAF or the Visions group(s) chosen. Funds will be distributedas specified. Contributions are deductible to the full extent of the law.

Return completed form to solicitor.

Milwaukee Public Library FoundationMilwaukee Public MuseumMilw. Urban Forestry / Greening Milw. Schools FundMilwaukee Art MuseumMilwaukee Recreation FundMilwaukee Arts BoardWisconsin Conservatory of MusicDiscovery WorldMilwaukee Public Schools Foundation, Inc.Milwaukee Housing Trust Fund88Nine RadioMilwaukee

Annual (pledge x 26) $

2015 UPAF/Visions Campaign Pledge FormName Department Employee ID No.

MILWAUKEE’S CULTURAL AND

ENVIRONMENTAL CAMPAIGN200 E. Wells StreetMilwaukee, WI 53202

Payroll Deduction Per Pay Period ($1.00 minimum/PP):

� $ � $10 � $5 � $3 Annual (pledge x 26) $

� Check� (payable to UPAF) $

TOTAL: $

� Check(s)�

(separate check foreach group chosen)

Milwaukee Public Library FoundationMilwaukee Public MuseumMilw. Urban Forestry / Greening Milw. Schools FundMilwaukee Art MuseumMilwaukee Recreation FundMilwaukee Arts BoardWisconsin Conservatory of MusicDiscovery WorldMilwaukee Public Schools Foundation, Inc.Milwaukee Housing Trust Fund88Nine RadioMilwaukee

TOTAL:

$$$$$$$$$$$$

� $

TOTAL: $

� $10 � $5 � $3Annual (pledge x 26) $� $ � $10 � $5 � $3Annual (pledge x 26) $� $ � $10 � $5 � $3Annual (pledge x 26) $� $ � $10 � $5 � $3Annual (pledge x 26) $� $ � $10 � $5 � $3Annual (pledge x 26) $� $ � $10 � $5 � $3Annual (pledge x 26) $� $ � $10 � $5 � $3Annual (pledge x 26) $� $ � $10 � $5 � $3Annual (pledge x 26) $� $ � $10 � $5 � $3Annual (pledge x 26) $� $ � $10 � $5 � $3Annual (pledge x 26) $� $ � $10 � $5 � $3

2 X

c To receive gifts and benefits - box must be checked authorizing release of your name and address to the organizationsyou have designated below.

Contributor’s Signature - Must sign to authorize deductions. Date

Work Phone #

Zip Code

Home Phone #

State

Home Address

City

1

3

4

Please see other side to confirm 2014 benefit levels.

301 W. WISCONSIN AVE. • SUITE 600MILWAUKEE, WI 53203

WWW.UPAF.ORG

Page 2: Name Department Employee ID No. 2017 2015 UPAF/Visions ......discounts on gift memberships; recognition in the MAM Annual Report; and more. Please call (414) 224-3284. for more information

2017 UPAF/Visions CampaignIt’s�your�choice�as�to�how�you�would�like�your�pledge�distributed�between�UPAF�and/or�Visions�groups.�Please�fill�out�the�pledge�form�carefully so�that�it�reflects�just�what�you�want.�Please�note�the�various�incentives�offered�below.�Please�see�your�campaign�brochure�for�additional� information. Thank you for your consideration!

UNITED PERFORMING ARTS FUND (UPAF) BENEFITSAll UPAF donors receive “Arts Beat,” an email newsletter that highlights group performances and an invitation to the Finish Line Party for the UPAF Ride for the Arts, sponsored by Miller Lite.$52 Donor (Crew)�–�Special�“buy�one,�get�one�free”�coupon book and�reduced�ticket�price�offers�from�UPAF�Affiliates.$100 Donor (Corps)�–��Use�your�UPAF�SMART�Card,�sponsored�by�Associated�Bank,�to�receive�“buy�one,�get�one�free”�tickets�to�each�of�the�UPAF�Member Groups and the UPAF Performance Guide, sponsored by the Marcus Corporation, which lists all season performances. Plus use your SMART Card for discounts and special offers at local restaurants and businesses. Check upaf.org/smart-card for current partners ($500 value).

$300 Donor (Cast)�-- Use your UPAF SMART Card, sponsored by Associated Bank, to receive an additional "buy one, get one free" ticket offer for each of the UPAF Cornerstone Member Groups-First Stage, Florentine Opera Company, Milwaukee Ballet, Milwaukee Repertory Theater, Milwaukee Symphony � Orchestra and Skylight Music Theatre.

$500 Donor (Performer)�–�Special�invitations�to�attend�UPAF�Member�Group�open�rehearsals�throughout�the�year.�$1,000 Donor (Director)�–��Two�free�registrations�for�the�UPAF�Ride�for�the�Arts,�sponsored�by�Miller�Lite,�for�donations�made�by�May�5,�2017 ($130�value).$2,000 Donor (Producer)�–��Complimentary�tickets�to�a�holiday�performance. Choose from "The Nutcracker," "A Christmas Carol" or other productions to be announced (up to a $150 value). Additional benefits are available at higher levels. Please call (414) 273-UPAF (8723) for more information.

VISIONS BENEFITSMilwaukee Public Library Foundation

$25 & up –�Receive your very own Browser Lion plush--the perfect furry companion for your work space. $40 & up�–��One-year�membership�to�the�Friends�of�the�Milwaukee�Public�Library.�Among�the�benefits�of�membership�are�special�invitations�and�member�

discounts�to�fascinating�literary�events.�Stay�connected�throughout�the�year�with�the�MPL�Reader�newsletter�by�mail.$100 & up – Be recognized for a lifetime on the new Mitchell Street Branch Donor Wall. Please call (414) 286-8720 for more information.

Milwaukee Public MuseumAll levels receive free general admission to the Museum and Planetarium; discounts on tickets to the Dome Theater; reciprocal admission to more than 300 museums;�discounts�in�the�Museum�shops,�cafe,�and�on�special�exhibits�and�parking;�invitations�to�members-only�evening�events;�and�more.

Patron levels include free admission to the Dome Theater.$65 & up Dual / $90 & up Dual Patron – 2 adults, or 1 adult and a guest$115 & up Family & Friends – 2 adults and children under 18, or 1 adult and 3 guests ($4.40 per pay period)$150 & up Family & Friends Patron – 2 adults and children under 18, or 1 adult and 3 guests ($5.75 per pay period)Additional benefits available at higher levels. Please call (414) 278-6170 for more information.

Milwaukee Art Museum$78 & up –��Unlimited�all-access�admission�for�two�adults�and�children�under�18;�invitations�to�Member�Preview�Celebration�for�each�feature�exhibition;�a

subscription�to�the�Member�magazine;�discounts�on�classes,�parking�passes,�Museum�Store�and�Café�Calatrava.$175 & up – All�benefits�listed�above�plus�reciprocal�privileges�at�over�65�museums;�access�to�day�trips�and�the�Lakefront�Festival�of�Arts�Member�Morning$400 & up�–�All�benefits�listed�above�plus�admission�for�four�adults�and�children�under�18;�reciprocal�privileges�at�over�750�museums;�five�guest�passes;�

discounts on gift memberships; recognition in the MAM Annual Report; and more. Please call (414) 224-3284 for more information.

Wisconsin Conservatory of Music2016-2017�Annual�Campaign�Giving�Levels�and�Benefits�(good�for�12�months):�Each�tier�includes�benefits�up�to�your�giving�level.�Gifts�of�$1,000�or�more�eligible� for�membership�in�the�McIntosh|Goodrich�Society.

Patron | $30-$99 – Fully tax deductible.Section Player | $100-$249 – Recognition in annual report.Principal Player | $250-$499 – Lobby recognition at McIntosh|Goodrich Mansion location.Assistant Concertmaster | $500-$999 – Two (2) complimentary drinks at choice of concert.Soloist | $1,000-$4,999 – Complimentary premium seating for two at a Festival of Trees & Music concert of your choice based on availability.Additional benefits available at higher levels. Please call (414) 276-5760 for more information.

Discovery WorldAll�levels�include�free�admission�to�Discovery�World�for�12�months,�$6�flat-rate�member�parking,�access�to�the�Kohl’s�Design�It!�Lab,�discounts�on�educational

�classes and camps, invitations to special member events, and reciprocal admission to over 300 science and technology centers around the world.$50 & up – Individual Membership (Admission for one Adult)$75 & up – Dual Membership (Admission for up to Two Adult Cardholders)$115 & up�–�Family�Membership�(Admission�for�Two�Adult Cardholders and�all�children�17 and under residing in the same household)�or�Grandparents�Membership (Admission for Two Grandparents and all grandchildren 17 and under) ($4.40 per pay period)� �

�$145 & up�–��Family�or Grandparents Plus�Membership (Same as above PLUS choice of one adult guest or named caregiver) Tax benefits available for gifts that exceed the value of our membership levels. Please call 414-765-8620 for more information.

88Nine Radio MilwaukeeAll donations:�Includes�a�12-month�Membership;�and�88Times�newsletter�that�includes�opportunities�open�to�Members�only.

$88.90 & up�–��Includes�12-month�Membership;�a�copy�of�our�current�Studio�Milwaukee�CD;�and�88Times�newsletter�that�includes�opportunities�open�toMembers only.

$240 & up�–��Includes�12-month�Membership;�a�copy�of�our�current�Studio�Milwaukee�CD;�the�latest�Radio�Milwaukee�hoodie;�and�88Times�newsletter�thatincludes opportunities open to Members only.

$500 & up –��Includes�12-month�Membership;�invitation�to�all�private�Studio�Milwaukee�live�performances�with�national�bands;�a�copy�of�our�currentStudio Milwaukee CD; the latest Radio Milwaukee apparel; and 88Times newsletter that includes opportunities open to Members only. Additional benefits are available at higher levels. Please call (414) 892-7928 for more information.