Join White Snake Projects' Golden Serpent Circle

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

You, our audience, are our most important asset, and we rely on your feedback and support. To that end, we’re forming the Golden Serpent Circle, a group of patrons who will pledge support for our programming and have special inside access to White Snake Projects.

To become a member of the Golden Serpent Circle, please provide your contact information and designate your pledge amount. You may make your annual donations online at www.whitesnakeprojects.org/support/ or by a check payable to White Snake Projects, 280 Lee Street, Brookline, MA 02445.

Name *

Street Address *

City *

Zip Code *

Phone Number *

Email *

Annual Pledge Amount *

$25

$50

$75

$100

Other:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Opus Affair. Report Abuse

Forms