La Vie Parisienne Ticket Order Form

Ticket Order Form

Step 1: Who are you?

1. First name:

2. Last name :

3. Street :

4. Apt. # :

5. City :

6. Province/State :

7. Country :

8. Postal Code/Zip :

9. Phone number (home):

10. Phone number (work/alternate):

11. Fax Number:

12. E-mail address :

Step 2: Where are you?

We are interested in where our audience is coming from. Please check one of the following boxes:

I am a resident of the province of Saskatchewan.
I am a resident of a Canadian province other than Saskatchewan.
I live in the USA.
I live outside Canada and the USA.

Step 3: On Which days would you prefer to attend La Vie Parisienne?

1. First Choice: Number of Tickets:

2. Second Choice : Number of Tickets:

3. Third Choice : Number of Tickets:

Comments

You will be notified by a representative of the Riverbank Music Company about the order you have requested. The ticket costs are $12.25 for Matinee shows, and $18.75 for Evening shows. Student and senior discounts are available upon request.

1. First name:
2. Last name :
3. Street :
4. Apt. # :
5. City :
6. Province/State :
7. Country :
8. Postal Code/Zip :
9. Phone number (home):
10. Phone number (work/alternate):
11. Fax Number:
12. E-mail address :

1. First Choice:		Number of Tickets:
2. Second Choice :		Number of Tickets:
3. Third Choice :		Number of Tickets: