Baroque Northwest Season Ticket Order Form Baroque Northwest Season Ticket Order Form
Print this form and mail it to:
Baroque Northwest
117 East Louisa Street, PMB #430
Seattle, WA 98102


Concert Series Total
Five-concert series (with two free passes)
General _____ @ $80, Senior/Student/EMA _____ @ $60

$ ____________
Three-concert series (with one free pass)
General _____ @ $50, Senior/Student/EMA _____ @ $38

$ ____________
Single Tickets (check concerts below)
General _____ @ $20, Senior/Student/EMA _____ @ $15

$ ____________
Tax-deductible donation
Ticket sales cover less than half of concert expenses; the rest is made up by contributions

$ ____________

Grand Total

$ ____________


Concerts Dates (Check 5 or 3 concerts)
Culture Clash Sat, Oct 18 _______ / Sun, Oct 19 _______
Winter Solstice & Holiday Sat, Dec 13 _______ / Sun, Dec 14 _______
Across the Carpathians Fri, Jan 30 _______ / Sat, Jan 31 _______
Music of the "New" World Sat, Feb 21 _______ / Sun, Feb 22 _______
Bläsing Baroque Fri, Apr 16 _______ / Sat, Apr 17 _______



Name

Address

City, State, Zip

Phone (day)___________________ / (eve)_______________

Please charge my _____ Mastercard / _____ Visa

Card Number___________________________ Exp Date_______

Signature

_____ I would like to receive Baroque Northwest news by e-mail

E-mail

_____ Check enclosed, payable to Baroque Northwest