Fall Play Pass order form

2016 Fall Play Pass Order Form

 

Mail to:  Little Lake Theatre, 500 Lakeside Drive South, Canonsburg, PA 15317

 

Last Name/First___________________________________________________

Street_______________________________________________________

City__________________________________State_______Zip_________Phone (Cell)__________________________(Home)_______________________

Email_______________________________________________________

 

DAY                            DATE                         TIME

A Midsummer
Night’s Dream                        ________                  _________              ________

Fancy Nancy                           ________                  _________              ________

(Tea Parties available only on November 5, 12, 19 )

A Christmas Carol                  ________                  _________             ________

Total # Children’s Fall Play Passes ______
@ ($30.00 + $2.75sc) $32.75 = _______________

Total # Adult Fall Play Passes _____________
@ ($42.00 + $2.75) $44.75 = ________________

Friday and Saturday night performances of A Christmas Carol are available for an additional $5 per ticket.

* Friday/Saturday night A Christmas Carol upgrades  ______@ $5.00/person =  _______________

*Total tea party admissions __________ @ $10.00 per person per tea party = ________________

Tea Parties are for Fancy Nancy ONLY.

TOTAL Paid ___________________

 

Check # ____________Cash   $ _______________

CC # _____________________________________
Exp date _____________Code_____________

(Visa, Mastercard, American Express, Discover)

Name on Credit Card _____________________________________________________________