Central Pennsylvania Symphony

2007-2008 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: 1-888-263-2891
Name(s): ____________________________________
Street Address or PO Box: ____________________________________
City: ________________ State: ____ Zip: _____
Day Telephone: _____-_____-_______
Evening Telephone: _____-_____-_______
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
TOTAL REMITTANCE ENCLOSED     $________.00