How many seats shall you name?*

Would you like to add an additional 3% to help offset credit card processing fees?

Total Amount Due*

Payor Information

Salutation

First Name*

Last Name*

Address*

City*

State*

Zip*

Phone*

Email*

Confirm Email*

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Payment Info

Please type the wording of the name plate(s) exactly as you wish it to read. You may type up to 2 lines of thirty characters each.

First Seat Line One

First Seat Line Two

Second Seat Line One

Second Seat Line Two

Third Seat Line One

Third Seat Line Two

Fourth Seat Line One

Fourth Seat Line Two

Please tell us if you have a preference regarding what seat number(s) you name.

Seat preference and any other special requests:

name a chair brochure cover

Other Ways to Give:

By phone:

You can reserve your plaque by credit card over the phone by calling:

304-645-7917

In person:

You can also pay by bringing a check, cash, or credit card to:

Carnegie Hall West Virginia

611 Church Street

Lewisburg, WV 24901