Name
Everett Theatre Balcony Chair Restoration Form
First
Last
Email Address
Address
City
State
Zip Code
Phone Number (Please include area code)
Please put the name that you wish to appear on the chair plaque in the box below. Separate names either with a comma or by pressing Enter. Note: There can be only one name per chair.
Payment Method
Quantity
Important!
Please Review this form before printing.
Please address the check to The Everett Inc. and to fill out the memo with Balcony Chair Restoration
Please mail this form and check or money to
Everett Inc.
45 West Main Street
Middletown, DE 19709
This is a donation which is Tax deductible
The Everett Inc. is a
501(c)(3) nonprofit corporation.
