Donation Information

Please complete the form below and click on "Submit Donation" to make your one time tax-deductible donation to Lebanon Opera House's General Fund.

If you would like to redeem member benfeits online, including early access to tickets, please click here to become a member.

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

Friend $60.00 +

Advocate $150.00+

Promoter $300.00+

Contributor $600.00+

Supporter $1000.00+

Other $

Salutation

First Name*

Last Name*

Address*

City*

State*

Zip*

Phone*

Email*

Confirm Email*

Please sign me up for your e-newsletter

Will this donation be matched?

Payment Info

Acknowledgement

For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas)

Name(s) to acknowledge

I would like this donation to remain anonymous

Dedication Information (Optional)

Dedication Type

Dedication Honoree Name

Personal note to be included with donation

Dedication Acknowledgment Information

Acknowledge by

First Name

Last Name

Address

Individual Donor Levels

Friend ($60+)

Advocate ($150+)

Promoter ($300+)

Contributor ($600+)

Supporter ($1,000+)

Investor ($2,500+)

Benefactor ($5,000+)

Partner ($15,000+)

Other Ways to Give

Give by Phone

You can make a gift by calling: 603.448.0400

Give by Mail

You can also give by writing a check or printing this form and mailing to:

Lebanon Opera House
P.O. Box 384
Lebanon, NH 03766

If you would like to set up a recurring donation please contact Mary Gaetz, 603-448-0400 x183.