NAME A SEAT

Yes! I want to name a seat at Theatre Exile!

One-Time Donation Information

Please complete the form below and click on "Submit Donation" to make your one-time tax-deductible donation. To submit this form, all "*" fields must be filled in.

Name a Seat Capital Campaign Donation

Amount ($1,000 Donation for each seat)*

Salutation

First Name*

Last Name*

Address*

City*

State*

Zip*

Phone*

Email*

Confirm Email*

Please sign me up for your e-newsletter

Payment Info

Name a Seat Acknowledgement

For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas)

Name(s) to acknowledge

I would like this donation to remain anonymous

Dedication Name for the seat plaque, if different from Acknowledgement (Optional)

Dedication Type

Dedication Honoree Name

Personal note to be included with donation

Any additional instructions or comments

Comments section

OTHER WAYS TO GIVE:

Give by Phone

You can make a gift by calling: 215-218-4022

Give by Mail

You can also give by printing this form and mailing to:

Theatre Exile
1340 S. 13th Street
Philadelphia, PA 19147

Charitable Donation of Stocks and Bonds

Vanguard brokerage account number:
15201478

Legal Name:
Theatre Exile Co

EIN: 23-2978331

For donation of Vanguard Mutual Fund, contact us
for our market settlement fund account number.