• a brass plaque engraved with up to three lines of dedication copy affixed -- in perpetuity -- to the theatre seat,
• two full season subscriptions to the Florida Shakespeare Theatre, and
• a listing in the program for each production of the season

To participate, print this form out, fill it out, and send it by postal mail to the address below.

Name:

Address:

City, State, Postal Code:

Telephone:

Home Fax:

Office Fax:

Please indicate below the wording for each chair dedicated. If more than 
two chairs are being dedicated, please write the dedication(s) on a 
separate sheet of paper and attach to this form.  Each engraved 
plaque may include up to three lines of copy, not to exceed 36 characters 
per line including spaces between words.



Chair Dedication #1                       Chair Dedication #2


__________________________                ____________________________

__________________________                ____________________________

__________________________                ____________________________



Please send this Chair Patron Order Form and your tax-deductible 
payment, payable to the Florida Shakespeare Theatre, and send it to:

Florida Shakespeare Theatre
The Biltmore Hotel
1200 Anastasia Avenue
Coral Gables, Florida 33134 U.S.A.

Or call the Florida Shakespeare Theatre office at (305) 446-1116
for further details.