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2006-2007
Season Subscription Order Form
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| Name ____________________________________________________________________ | ||||||||||||||||||||||
| Address ___________________________________________________________________ | ||||||||||||||||||||||
| City _________________________________ | State ______________ Zip _____________ | |||||||||||||||||||||
| Home Phone __________________________ | Work Phone _________________________ | |||||||||||||||||||||
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| _____ six-show subscriptions @ $78 |
Total
$___________
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| _____ five-show subscriptions @ $70 |
Total
$___________
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| _____ four-show subscriptions @ $60 |
Total
$___________
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| Would you like to Donate? |
Total Donation
$___________
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| _____ Flex-Pass options @ $2 per subscription |
Total
Enclosed: $___________
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| Enclose check made payable to Theatre Conspiracy, or charge my Visa or Mastercard: | ||||||||||||||||||||||
| Card #_______________________________ | Expiration Date: ______________________ | |||||||||||||||||||||
| Signature: __________________________________________________________________ | ||||||||||||||||||||||
| If
you did not choose the Flex-Pass option, please select performance dates
and seating now: (click here for seating chart) |
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| Print and
mail to: Theatre Conspiracy 10091 McGregor Blvd. Fort Myers, FL 33919 |
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