Mail Order Ticket Order Form - Albany Berkshire Ballet

Ticket Mail Order Form - Albany Berkshire Ballet

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Mail completed form with either credit card information or check or money order payable to "Albany Berkshire Ballet" to Albany Berkshire Ballet, 51 North Street, Pittsfield, MA 01201.

Program	Location	Date	Section	# of Tickets	Price Per Ticket	Total Price
_____________	_____________	_________	______	______	________	________
_____________	_____________	_________	______	______	________	________
_____________	_____________	_________	______	______	________	________
_____________	_____________	_________	______	______	________	________
_____________	_____________	_________	______	______	________	________
				$ Total Enclosed:		________

________________________________________________________________________
Name

________________________________________________________________________
Address

________________________________________________________________________
Phone Number:

Method of Payment:

p Check
p Visa

p Mastercard
p Discover
p American Express

_____________________________________________________________________
Credit Card #

______________________________________________________________________
Signature