STEP 1: PURCHASER INFORMATION

First Name:

Last Name:

*Spouse Name:

Address:

City:

State:

Zip:

Email:

*Spouse Email:

Phone:

* If this is a joint gift please provide your spouse's information.To learn about naming opportunities for larger gifts, please contact Rebekah ShermanRebekah.Sherman@supportuw.org

STEP 2: NAME YOUR SEAT OR DEDICATE YOUR INSCRIPTION TO CELEBRATE OR MEMORIALIZE ANOTHER

Plaques will be affixed to the back of seats in the Mead Witter Foundation Concert Hall.Each plaque is 1 3/8 in. tall by 2 7/8 in. wide, copper, and engraved with black infilled type.Each plaque may have up to four lines of text with 20 characters (including spaces) per line.Inscriptions will be in upper-case letters only. Font size is 16 pt.All inscriptions are subject to approval by the Mead Witter School of Music.Please visit the FAQ page for more information.

Line 1:

Line 2:

Line 3:

Line 4:

If you are experiencing trouble with your inscription, please contact:Brian S. HellerFacilities Director, Mead Witter School of Music(608) 263-1893bsheller2@wisc.edu

STEP 3: SUBMIT YOUR INSCRIPTION

If you have additional comments and/or instructions you can enter them here: