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Titusville Playhouse, Inc. at the Emma Parrish Theatre 301 Julia Street, Titusville, FL 32796 (321) 268-3711 -- Box Office: (321) 268-1125 -- tpi301@bellsouth.net |
Name: ________________________________________________________________________
Address: _______________________________________________________________________
City: ______________________________ State: __________ Zip Code: __________________
Evening Phone: ___________________________ Day Phone: __________________________
eMail: __________________________________________
____ I’m renewing, and I’d like the same seats and performance as last year.
____ If possible, change to _________________________________________________________
____ I’m a new subscriber! Preferred row and performance day (choose one below):
First Weekend ____ Friday ____ Saturday ____ Sunday Second Weekend ____ Friday ____ Saturday ____ Sunday Third Weekend ____ Friday ____ Saturday
Please remember First, Second and Third weekend refers to the weekend of the RUN OF THE SHOW, not the weekend of the MONTH.
Quantity Type of Ticket Regular Price Senior (60+) or Student Price Amount Orchestra Season Ticket $84 $70 Balcony Season Ticket $72 $60 Orchestra Season Ticket (Rising Stars) $14 Flex-Pass $84 Summer Show — Orchestra $14 $12 Summer Show — Balcony $10 $8 *Angel Sponsorship $500 *Friend Sponsorship $350 *Membership — Diamond $180 *Membership — Platinum $100 *Membership — Gold $75 *Membership — Silver $40 Contribution TOTAL
*Sponsorship and Membership information. If you are signing up for membership, please include all adult names you wish to have on the membership who are over the age of 16 living at the same address.Please make checks payable to TPI or you can charge your order to your credit card:
____ Mastercard ____ Visa ____ Discover
Credit Card #: ____________________________________ VIN#: ___________ Expiration Date: ___________
Signature: __________________________________________________________________
Please return this order form to:
Titusville Playhouse, Inc. -- 301 Julia Street -- Titusville, FL 32796
Fax: (321) 264-2976 -- Phone: (321) 268-1125