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MEMBERSHIP ORDER FORM |
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Name: _______________________________________________________________
Address:_____________________________________________________________
City: _____________________________________________ Zip: _____________
Hm Ph: _____________________________ Wk Ph:_________________________
Email________________________________________________________________ |
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Phone: 227-6588 Email: joyofmusic@qwest.net |
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MAIL TO:
Live! at the Civic PO Box 143 Helena, MT 59624
(Checks Preferred) |
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Account # __________________________________________________
Exp. Date _______/________
Card Holder Signature _______________________________________
For More Information: 227-6588 or 227-5820 All Sales Final - No Refunds |
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ORDER ONLINE Safe & Secure thru PAYPAL |
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CHECK # |
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Worker’s Name Worker’s # ____________________________________ ___________ |
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2010- 2011 SEASON |
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Electronic newsletters give you updates, concert reminders & FREE drawings. Address not shared!
TICKET MEMBERSHIP ORDER
(RM) REGULAR MEMBERSHIP (5 Regular Season Concerts) (PRM) PREMIUM MEMBERSHIP (5 Regular Season Concerts PLUS 1 Music Man reserved seat) |
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Live! at the Civic is a Tax Deductable 501C3 YES! I want to become a Friend of Live! at the Civic at the level indicated WE NEED YOUR SUPPORT! Please select one category DONATION OPPORTUNITIES $25 - Garnet $75 - Topaz $150 - Pearl $250 Opal $500 - $999 Yogo Sapphire |
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RESERVED TICKET / RM 5 Reg. Shows-Reserved seat
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RESERVED TICKET /PRM (PLUS 1 Reserved Music Man ticket) |
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GENERAL ADMISSION / RM 5 Reg. Shows-Open seating |
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CHILD/STUDENT (General Admission) / PRM (PLUS 1 Reserved Music Man ticket) |
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CHILD/STUDENT (General Admission) / RM ( AGE 1 THRU 18 YEARS OLD) |
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GENERAL ADMISSION / PRM (PLUS 1 Reserved Music Man ticket) |
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FAMILY (General Admission) / PRM (PLUS 2 A/ 2 C/S reserved Music Man tickets) |
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FAMILY (General Admission) / RM (2 Adults & children ages 1 thru 18 years old) |
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WE NEED YOU HELP!! ADD YOUR TAX DEDUCTIBLE DONATION |
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$100 |
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$75
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$114
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$30
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$49
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$179
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$289
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$139
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PRICE |
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TOTAL |
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QTY |
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Donation Level |
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TOTAL |
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When ordering please add your phone # and email address or add a comment. |
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If mailing in order, print form, fill out, and MAIL TO:
Live! at the Civic PO Box 143 Helena, MT 59624 ------------------ Order Online below. |
