Put a chair on the floor
of the Grand Opera House!

To name ore or more chairs at the Grand Opera House of the South,
print this form and mail to:

Grand Opera House of the South
505 North Parkerson Avenue
Crowley, LA 70526

Individual/Corporation/Foundation name:

Contact name (if different from above):

Address:

City/State/Zip:

Home/Work/Fax phones:

Email:

Indicate what you would like inscribed on the brass plate that will be placed on the back of the chair:

Total amount due (number of chairs times $450):

__ Check is enclosed made to "Grand Opera House of the South"

Thank you for your interest in and support of Grand Opera House of the South!