If you would like to purchase an engraving by mail.......

Iron Mountain High School

“Take A Seat” Printable Fundraiser Order Form To Mail

Name:_______________________________________________________________________

Address:_______________________________ City: __________________________________

State:_____________________ Zip:_______________ Phone: ______________________________________

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 a seat  $ ______________

Please print your name and inscription as you would like it to appear on the chair(s) – limit  24 characters per line (including spaces), up to 4 lines.

Seat #1:

____________________________________________________________________________

__________________________________________________________________________________________________________________

Seat #2:

____________________________________________________________________________

____________________________________________________________________________

Seat #3:

____________________________________________________________________________

____________________________________________________________________________

Please make checks payable to: IMHS Auditorium Fundraiser

Please mail check and form to:

IMHS Auditorium Fundraiser

PO Box 280                                      

Iron Mountain, MI  49801