Secure Credit Card Form

 

 

Name

 

Address

 

 CityState Zip

 

Phone email

 

Please choose a quantity in the section where you would like your seat assignment

 

Director # of seats in rows A-F at $225.00 each

 

Bravo # of seats in rows G-M at $200.00 each

 

Patron # of seats in rows N-U at $185.00 each

 

Balcony # of seats in rows V-Z at $175.00 each

 

I would like to make a donation without purchasing

 

Please type your name and inscription as you would like it to appear on your chair(s) engraving. There is a limit of 24 characters (including spaces) up to 4 lines.

 

Seat#1                                            Seat#4

Seat#2                                            Seat#5

 

Seat#3                                            Seat#6

 

 

When you are ready to make a donation, with or without a purchase, please click submit to checkout.