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Name __________________________________________________________ Address ________________________________________________________ City ______________________________ State ________ Zip ________+_____ Phone (Wk) __________________________ (Hm) ________________________ |
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| SECTION | PRICE | # OF TICKETS | TOTAL | |||||||
| Golden "T" Balcony | $165 | ____________ | $_________ | |||||||
| a | $140 | ____________ | $_________ | |||||||
| b | $115 | ____________ | $_________ | |||||||
| c | $95 | ____________ | $_________ | |||||||
| STUDENTS (Age 6 - College) | $55 | ____________ | $_________ | |||||||
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| SECTION | PRICE | # OF TICKETS | TOTAL | |||||||
| Golden "T" Balcony | $150 | ____________ | $_________ | |||||||
| a | $125 | ____________ | $_________ | |||||||
| b | $100 | ____________ | $_________ | |||||||
| c | $80 | ____________ | $_________ | |||||||
| STUDENTS (Age 6 - College) | $40 | ____________ | $_________ | |||||||
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| PRICE | # OF TICKETS | TOTAL | ||||||||
| Finishing Touches |
Season | $ 30 | __________ | $_________ | ||||||
| Holiday Pops |
Adult | $ 20 | __________ | $_________ | ||||||
| Student | $ 10 | __________ | $_________ | |||||||
| SUBTOTAL | $_________ | |||||||||
| POSTAGE & HANDLING |
$_____5.00_ | |||||||||
| TOTAL | $_________ | |||||||||
| ___ Check Enclosed: Payable to Gulf Coast Symphony ___ Charge: Visa / Mastercard Account Number __________________________ Exp. _______ Signature ____________________________________________ ___ Please contact me about supporting GCSO through a Bequest in my will or through a planned Gift providing lifetime income. |
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