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All Donations Graciously Accepted.

Please use this form to make an online donation to the Egyptian Theatre Foundation. You may also indicate buying a seatback by checking the box and entering the name for each seatback.

( * = required field )

First Name: *

Last Name: *

Organization:

Address: *

Address 2:

City: *

State: *

Zip Code: *

Phone: *

Email: *

Confirm Email: *

ADDITIONAL INFORMATION

Donation Type: *

Membership Sponsorship Donate Only Seat back

Gift made in honor of:

Seat Back Sponsor?:

$150 Seat back $250 Seat back No, thank you.

Info to be printed on seat back plaque(s):

Limited to two lines per seat back. If you prefer, you may indicate In Memory of… or A Gift of… followed by the appropriate name.

Messages:

Amount ($): *

$35.00	Regular Membership
$50.00	Courtyard Guards
$100.00	Twinkling Star
$250.00	Royal Advisors
$500.00	King Tut
$500.00	Corporate Kings
$1000.00	Pharaoh’s Circle Sponsorship
$5000.00	The Shining Star Sponsorship
$150.00	Seat Back $150
$250.00	Seat Back $250
		[You may insert your donation amount here instead of using one of the above amounts.]