2025 Gala Patron Response Form
Name(s) as you would like to be recognized:
Gala Support*: (Save the Date – Tuesday, June 24, 2025)
$2,500 Patron (2 tickets)
$5,000 Patron (4 tickets)
* Due to IRS regulations of donor advised funds (DAF), The Bascom may not apply any portion of a donation from DAF towards the value of the event ticket. If you choose to pay your sponsorship through a DAF, the IRS requires you to make an additional payment equal to the value of each ticket used (for each sponsorship level, $175 per ticket will not be tax-deductible)
*Individual tickets will open on May 1, 2025, on a first-come, first-served basis, if available.
Gift Method:
Check enclosed
Card Number
Credit Card Pledge of Support (payment due by June 1st)
Name on Card Signature
Make your gala patron’s gift online at TheBascom.org. For further information on processing your gala patron’s support such as giving a gift by phone, or making a gift of stock or retirement distribution, contact Haley Bleckley 828.526.4949. Your gift may be tax deductible. Please consult your tax advisor.
Please return this form to Haley Bleckley at hbleckley@thebascom.org or by mailing to:
The Bascom Post Office Box 766 Highlands, NC 28741
The Bascom is a 501(c)(3) nonprofit organization, FEIN 56-2093546
For information on additional philanthropic support of The Bascom, please contact Jamie Raynor, Director of Development, for information on the Barratt Society, the Director’s Circle, corporate sponsorships, planned giving, or endowment giving at jraynor@thebascom.org or 828.787.2897.