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 |
|---|---|
|
Quintet of concerts (with two free passes) General _____ @ $93, Senior/EMA _____ @ $72, Student _____ @ $42 |
$ __________ |
|
Trio of concerts General _____ @ $59, Senior/EMA _____ @ $45, Student _____ @ $27 |
$ __________ |
|
Single Tickets (check concerts below) General _____ @ $22, Senior/EMA _____ @ $17, Student _____ @ $10 |
$ __________ |
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) |
|---|---|
| Quantz's Travels | Sat, Oct 1 _______ |
| Duo Recital | Sat, Nov 12 _______ |
| The Great Unknowns | Sat, Dec 3 _______ |
| Revolutionary Baroque | Fri, Feb 17 _______ / Sat Feb 18 |
| Closing the Gap: Louisiana Territory | Fri, Apr 7 _______ / Sat, Apr 8 _______ |
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 |
|
|
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_____ Check enclosed, payable to Baroque Northwest |