Central Pennsylvania Symphony
2009-2010 Ticket Order Form
| Print this form, fill out and send, with payment, to: |
The Central Pennsylvania Symphony
P.O. Box 55
Hummelstown, PA 17036 |
| Toll free telephone number: 717-910-0310 |
| Name(s): |
____________________________________ |
| Street Address or PO Box: |
____________________________________ |
| City: |
________________ |
State: |
____ |
Zip: |
_____ |
| Day Telephone: |
_____-_____-_______ |
| Evening Telephone: |
_____-_____-_______ |
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| Phantoms and Fantasy |
| Regular Ticket |
_____ X |
$18.00 |
= $________.00 |
| Senior Ticket |
_____ X |
$15.00 |
= $________.00 |
| Student Ticket |
_____ X |
$5.00 |
= $________.00 |
| Sounds of the Season |
| Regular Ticket |
_____ X |
$18.00 |
= $________.00 |
| Senior Ticket |
_____ X |
$15.00 |
= $________.00 |
| Student Ticket |
_____ X |
$5.00 |
= $________.00 |
| The Annual Gala Concert |
| Single Ticket |
_____ X |
$55.00 |
= $________.00 |
| One table 8 seats |
_____ X |
$400.00 |
= $________.00 |
| One table (maximum capacity 10 seats) |
_____ X |
$500.00 |
= $________.00 |
| Please remit ONE check per table |
|
|
| Soul Infusion |
| Regular Ticket |
_____ X |
$18.00 |
= $________.00 |
| Senior Ticket |
_____ X |
$15.00 |
= $________.00 |
| Student Ticket |
_____ X |
$5.00 |
= $________.00 |
Donations |
| Underwriter ($3,000 and above) |
|
$________.00 |
Carolyn D. Ruhl Conductor
Sponsor $2,000 to $2,999) |
\
|
$________.00 |
D. Eugene Rannels Concertmaster
Sponsor ($1,000 to $1,999) |
|
$________.00 |
| Benefactor ($500 to $999) |
|
$________.00 |
| Patron ($100 to $499) |
|
$________.00 |
| Friend ($25 to $99) |
|
$________.00 |
TOTAL REMITTANCE ENCLOSED |
|
|
$________.00 |
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