Web Form.pub - Booth Tarkington Civic Theatre
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1Show your support for Civic Theatre and take this exciting opportunity to
etch your name in Civic’s future!
Your tax-deductible contribution will affix your name to a seat in the
Tarkington at the Center for the Performing Arts.
In exchange for a total gift of $1,000, you will receive:
The name of your choosing engraved on a plaque and affixed to a seat in the Tarkington
Recognition on wall plaque in Tarkington lobby, on Civic website, and in Civic playbill
Invitation to an exclusive celebration
Payment plans are available!
Consider paying over a 3-year period — only $1 per day; less than $30 per month.
Collaborate with a group to show your collective support for Civic.
Registration below.
NOTE: By completing, signing, and submitting this form, I pledge a total donation of $1,000 to Civic Theatre. I also understand that
seats are assigned on a first-come, first-served basis and that my gift does not imply availability of that
particular seat during a performance.
Questions? Please call Julia Bonnett at (317) 853-6321 or .
Flexible payment plans are available.
Name______________________________________________________________________________________________
Address_____________________________________________________________________________________________
City ________________________________________________ State _______________ Zip________________________
Phone (______)________ - _____________________________ E-mail__________________________________________
Name/Tribute (As you would like it to read on the plaque)
____________________________________________________________________________________________________
Signature____________________________________________________________________________________________
Lump Sum Donation
Equal Payments Over 3 Years, beginning:________ Frequency:________
Plan:
Payment: Check (Payable to Civic Theatre) Credit Card (Visa, MC, AmEx, Discover)
Number______________________________ Expiration Date ___________
Mail to Name a Seat, Booth Tarkington Civic Theatre, 3 Center Green, Suite 200, Carmel, IN 46032.
E-mail information to .
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