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The Historic Embassy Theatre

 
   

 

 

Order form

The support you provide is crucial funding for the Historic Embassy Theatre's most important programs, essential operations and services. Thank you for your support!

* Click here to Make a General Donation.

* Click here to Join as a Individual Membership.

* Click here to Join as a Corporate Membership.

* Click here to Dedicate a Brick and/or Seat.

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General Donation

Yes, I would like to make a General Donation.
Donation Amount:
  $ (Total amount in US dollars)
   

 

 


Membership: Individual

Yes, I would like to purchase an Individual Membership.
Membership Amount:
  $ (Total amount in US dollars)
   

 

 


Membership: Corporate

Yes, I would like to purchase a Corporate Membership.
Membership Amount:
  $ (Total amount in US dollars)
   

 

 


Dedications: Brick & Seat
* 4 x 8 inch Brick
A certificate of thanks will be sent honoring each dedication. For questions, please contact the Embassy Theatre Development Director Steve Linsenmayer at 260. 424.6287 or steve@fwembassytheatre.org.

Yes, I would like to dedicate a 4 x 8 inch brick ($80.00).

Three lines of writing per brick. 18 characters per line.
One lettter per box, leaving a space where needed.

Line one: 
                                   
Line two: 
                                   
Line three: 
                                   

 

   

* 8 x 8 inch Brick-
A certificate of thanks will be sent honoring each dedication. For questions, please contact the Embassy Theatre Development Director Steve Linsenmayer at 260. 424.6287 or steve@fwembassytheatre.org.

Yes, I would like to dedicate a 8 x 8 inch brick ($800) and/or,
Yes, I would like to dedicate a 8 x 8 inch brick with a corporate logo ($800).

Six lines of writing per brick. 18 characters per line.
One lettter per box, leaving a space where needed.
Call 260.424.6287 for corporate logo details.

Line one:  
                                       
Line two:  
                                       
Line three:  
                                       
Line four:  
                                       
Line five:  
                                       
Line six:  
                                       


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* Seat Dedication-
A certificate of thanks will be sent honoring each dedication. For questions, please contact the
Embassy Theatre Development Director Steve Linsenmayer at 260. 424.6287 or steve@fwembassytheatre.org.

Yes, I would like to dedicate a $300 seat.
Yes, I would like to dedicate a $500 seat.
Yes, I would like to dedicate a $1,000 seat.

Two lines of writing per seat. 20 characters per line.
One lettter per box, leaving a space where needed.

Line one: 
                                       
Line two: 
                                       


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Checkout
1). Please provide the requested information so that we can fully process your order.

Title (Mr., Ms., Mrs.):
First Name:
Last Name:
Company (if applicable):
Street:
City:
State:
Zip Code:
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Email:
Phone:

 

2). Credit Card Information

Cardholder Name:
Credit Card #:
Card Type::
Expiry:
/ (MM/YY)
   
Comments:
   

The Embassy Theatre Foundation, Inc. reserves the right to decline any order.
A full refund will be given if an application is denied.

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1929
Red Skelton gave two one-man shows from the Embassy stage. More historical facts...
Bob Hope

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