ORDER FORM FOR
SPECIAL PRODUCTIONS & CONCERTS
$75
tickets = orchestra $65 tickets = rear orchestra, front
balcony (also, boxes @ Irvington) $55 or $45 tickets
= rest of balcony
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THE MARSHALL TUCKER BAND - March 7, 2009 - 8:00
pm
Number of tickets_____ @ q $75 q $65 q $55--------------- = $_________
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JAY AND THE AMERICANS - March 21, 2009 - 8:00 pm
Number of tickets_____ @ q $75 q $65 q $55--------------- = $_________
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Number of tickets_____ @ q $75 q $65 q $45--------------- = $_________
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GARY PUCKETT - May 16, 2009 - 8:00 pm
Number of tickets_____ @ q $75 q $65 q $55--------------- = $_________
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NO REFUNDS OR EXCHANGES
AFTER ORDER IS PROCESSED.
CHOICES SUBJECT TO
AVAILABILITY.
Handling
fee = $ 4.00
Date of Order_________________ TOTAL AMOUNT ENCLOSED $_____________
Name_____________________________________________Phone_______________
Address_______________________________________________________________
City____________________________________State____________Zip________
E-MAIL
ADDRESS____________________________________
q Check Enclosed (payable to Westco
Productions)
q Charge to:
q VISA
q
MasterCard
_____________________________________ ________________________________
Print Name (as on credit card) Signature (as on
credit card)
________________________________________ ______________________
Credit Card #
Exp.
Date
Mail
this order form to: