MAKE YOUR MARK - Engraved Bricks - Form for Single Donations

Please complete the form below and click on "Submit" to make your tax-deductible donation. 

To submit this form, all "*" fields must be filled in.

One (1) Brick $200
Three (3) Bricks $500
Six (6) Bricks $1,000
Additional Gift to the Footsteps Fund $
Salutation
First Name*
Last Name*
Address*
City*
State*
Zip*
Phone*
Email*
Confirm Email*
Please sign me up for your e-newsletter
Card Type*
Card Number*
Expiration Month*
Expiration Year*
Card Security Code*
Please enter brick inscription below
(4 lines maximum; 14 characters each)
Brick Inscription*

Processing may take a moment.  Please only click Submit once.

 

It is anticipated, though not guaranteed, that the bricks will be in place by fall 2018


 



Other Ways to Give

If you prefer the option to give monthly click here or contact the Development Office at developmentapprentice@theoneill.org or call (860) 443-5378 ext.255

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

 

The Eugene O'Neill 
Theater Center
305 Great Neck Road
Waterford, CT 06385