I Would like to Help Purchase:
The Dexter Roundhouse has been working to restore the History of the building. We would like your help to continue to restore additional interior areas.
I would like to help with: (Please enter item & $ amount pledged)
Doors & Windows__________ 
Site Benches__________
Site Benches__________Wall Displays _________ Pamphlet Racks ___________
Pamphlet Racks ___________ Sm _____ Lg________ Sm ______ Lg _________
Sm ______ Lg _________Director's Pit_____________ Under Stage Area _________
Under Stage Area _________Gift Carts _______________ Theatrical Equiptment ________
Name: ________________________ Ph# __________________
Address: _____________________________
_____________________________
Fax/ Email: _____________________________
(Copy of order/receipt will be emailed or faxed to you)
PaymentRec'd: Cash ____Check # _____
Check # _____We appreciate any donation that you could make. Thank you for your generous gift.
Engraved Brick Order Form
Name: ________________________ Phone: ________________
Mail: ______________________________________________________________Fax/Email: ________________________________
(Copy of order/ receipt will be emailed or faxed to you)
Payment Rec'd: Cash _____ Check#______
To be engraved on brick- Please print clearly
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Three lines; 15 characters per line
