Print Information: Each 3 x 1 seating
plaque will include:
One name or a family name (i.e. The Smith Family)
Twenty-two spaces per line. Each space counts as a character. In memory of may be used.
Inscription to be placed on the seat plaque.
Please print.
One letter, space or punctuation per square.
Line 1
Please charge
Visa
MasterCard
Card No._______________________________________
Name on Card__________________________________
Expiration Date__________________________________
Signature______________________________________
Or send your check made payable to Little Theatre, P. O. Box 114,
New Smyrna Beach, FL 32170. Orders may be dropped off at the LT
Box Office Mon.-Fri. from 1-4 p.m.
Please send letter of acknowledgement of gift
to: Or check here if letter should be sent to donor.
Name:__________________________________________
Address:_______________________________________
City:_____________________State____Zip___________