Buy A Seat
Form

Please mail to
Cincinnati Shakespeare Company • Attn: Kelly Bollinger • 719 Race Street • Cincinnati, OH 45202

QuantityTotal
___    Engraved Name plate(s) - - - - - - - - - - - - - - - - >$100 each = $ _______
PLUS my tax-deductible donation* = $ _______
GRAND TOTAL = $ _______
Print clearly the names as you wish for them to appear:

________________________________

________________________________

________________________________

________________________________

Name: __________________________________________________

Address: __________________________________________________

City, State, Zip: __________________________________________________

Email: ______________________________________________________

Phone (day): __________________________________________________

Phone (night): __________________________________________________

Signature: __________________________________________________

__ Check - Please make checks payable to: Cincinnati Shakespeare Company
or Credit Card:   __ Visa     __ Mastercard     __ American Express

Card Number: ___________________________________     Expiration Date: _________
Cincinnati Shakespeare Company is a non-profit organization. Your contribution is tax-deductible. A receipt will be sent to the address you have listed above. Questions? Call 513-381-2288. Thank you for your support!