Florida State University College of Visual Arts, Theatre & Dance Department of Dance
Florida State University Department of Dance
Full House Project
Full House Project
Order Form Name ___________________________________ Address _________________________________ ________________________________________ City ______________ State ________ Zip______ Phone ___________________________________ Email ___________________________________ Name(s) to be placed on chair (Please type or print clearly - limit 20 characters) ________________________________________ Number of Chairs purchased
________
Cost per chair
x $400.00
Total Amount Due
________
Payment:
____ Check payable to FSU Foundation/Department of Dance ____ Master Card
_____ Visa
Card # ____________________________________ Exp. Date _____ / ____________ Signature __________________________________
Return Form to: Florida State University Department of Dance Full House Project PO Box 3062120 Tallahassee, Florida 32306-2120
Florida State University Department of Dance PO Box 3062120 Tallahassee, Florida 32306-2120 850.644.1024
dance.fsu.edu Photographs: Jon Nalon
Help Fill the House for Years to Come