R. Duane Best Auditorium Seat Replacement Project

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					    R. Duane Best Auditorium Seat Replacement Project
                  Donation & Order Form


      DONOR NAME (Individual, Organization, etc.)

      ________________________________________

      Contact Person:___________________________

      Mailing Address:___________________________

      Phone:__________________________________

      Email:___________________________________


      In Honor of_______________________________


      In Memory of_____________________________


      Organization_____________________________


      Number of seats: #_____ Seat Donation $______

      Other Donation $__________



      Please mail donations and seat orders to:

         Duane Best Scholarship Fund
                PO Box 4424
               Eden, NC 27289

      Checks Payable to: MHS - BEST FUND
    Memo Line Message: Seat Replacement Project


               Downstairs (701 Seats)
                Balcony (1001 Seats)
               TOTAL = 1702 Seats!

      Return order form in attached envelope.