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 |
|---|---|
|
The Quartet of concerts (with two free passes) General _____ @ $75, Senior/EMA _____ @ $58, Student _____ @ $34 |
$ __________ |
|
Single Tickets (check concerts below) General _____ @ $22, Senior/EMA/SFS _____ @ $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 |
|---|---|
| Reformation or Revolution | Sat, Oct 7 _______ |
| Mediterraneo | Sat, Dec 9 _______ |
| Closing the Gap | Sat Jan 20 _______ |
| Flutes in Flight II | Sat, Apr 14 _______ |
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 |