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(215) 235-8469 |
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SUBSCRIPTION AND/OR INDIVIDUAL TICKET ORDER FORM |
Name |
________________________________________________ |
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| Street Address |
________________________________________________ |
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| ________________________________________________ |
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| City____________________________________________ |
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| State___________________Zip code________________ |
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| Daytime phone number | ________________________________________________ |
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| Evening phone number | ________________________________________________ |
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| E-mail address (optional) | ________________________________________________ |
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Specify number and category of subscriptions and/or tickets you would like, choose concert locations, add the shipping and handling charge, and total the amount (US Dollars). Tickets for any one performance are good at any of the performance locations, by making exchanges during the season.
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Series
Subscriptions: all four performances - Sept/Dec/Feb/Mar: |
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| Preferred |
no.____ @ $85.00 each = subtotal $___________ | |
| Preferred-Wilmington |
no.____ @ $64.00 each = subtotal $___________ | |
| General |
no.____ @ $68.00 each = subtotal $___________ | |
| General-Wilmington |
no.____ @ $51.00 each = subtotal $___________ | |
| Student/Senior |
no.____ @ $51.00 each = subtotal $___________ | |
| Stu/Sr-Wilmington |
no.____ @ $38.00 each = subtotal $___________ | |
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| Select Concert Locations (exchanges can still be made during the season) | |||
| SEP/OCT: | __Chestnut
Hill 9/29 |
__Center City 9/30 |
__Wilmington 10/1 |
| DEC: | __Center
City 12/15 |
__Chestnut
Hill 12/16 |
__Wilmington 12/17 |
| FEB: | __Center
City 2/23 |
__Chestnut
Hill 2/24 |
__Wilmington 2/25 |
| MAR: | __Chestnut
Hill 3/24 |
__Center City 3/25 |
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| September/October: Iberica Resplendens | ||
| Preferred |
no.____ @ $25.00 each = subtotal $___________ | |
| General |
no.____ @ $20.00 each = subtotal $___________ | |
| Student/Senior |
no.____ @ $15.00 each = subtotal $___________ | |
| Select Location: | __Chestnut
Hill 9/29 |
__Center City 9/30 |
__Wilmington 10/1 |
| December: A Mexican Christmas | ||
| Preferred |
no.____ @ $30.00 each = subtotal $___________ | |
| General |
no.____ @ $25.00 each = subtotal $___________ | |
| Student |
no.____ @ $8.00 each = subtotal $___________ | |
| Seniors:
Deduct $3 per person from this concert only. |
no.____ @ $______ each = subtotal $___________ | |
| Select Location: | __Center
City 12/15 |
__Chestnut
Hill 12/16 |
__Wilmington 12/17 |
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February:
Sweet Pipes |
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| Preferred |
no.____ @ $25.00 each = subtotal $___________ | |
| General |
no.____ @ $20.00 each = subtotal $___________ | |
| Student/Senior |
no.____ @ $15.00 each = subtotal $___________ | |
| Select Location: | __Center
City 2/23 |
__Chestnut
Hill 2/24 |
__Wilmington 2/25 |
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March:
Habsburg Hofkapelle |
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| Preferred |
no.____ @ $30.00 each = subtotal $___________ | |
| General |
no.____ @ $25.00 each = subtotal $___________ | |
| Student/Senior |
no.____ @ $15.00 each = subtotal $___________ | |
| Select Location: | __Chestnut
Hill 3/24 |
__Center City 3/25 |
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Ticket subtotal $____________ |
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| Contribute,
if you wish $____________ |
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| Shipping
& Handling $____________ |
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| For
U.S. destinations, add $1.00 for shipping and handling. For U.S. express mail, next day service, add $12.50 for shipping and handling. For any other destination or form of shipment, please inquire. |
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| Less
deduction (if any) $ ____________ |
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| $2.00
off each additional individual ticket when bought with or after the purchase
of a series subscription. |
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Grand Total $ ____________ |
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Make check or money order payable in U.S. funds to "Piffaro" and mail to the following address. Please do not mail cash. |
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PIFFARO, The Renaissance Band Artistic Directors: Administrative Director info@piffaro.com The
official registration statement & financial information for Piffaro
may be obtained |