Etobicoke Musical Productions

Non-Subscription Order Form

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Name:
Address:
Apt#:
City:
Province
Postal Code:
E-Mail Address:
Home Telephone:	(       )
Business Telephone:	(       )
Payment method (circle one):	VISA     MasterCard     Cheque
Credit Card Number:
Expiry Date:
Signature:
Seat Selection (circle one):	Best Available     Other - specify:
Show:
Performance Date and Time:

	Adults	x	$23.00	= $
	Group 10 or more	x	$20.00	= $
	Youths up to 16 yrs	x	$17.00	= $
Handling fee ($2 per order)				= $	2.00
No refunds		TOTAL		= $

Please make cheques payable to: Etobicoke Musical Productions

Mail this form with stamped, self-addressed envelope to:

Etobicoke Musical Productions 212-311 DIXON ROAD TORONTO, ON M9R 1S3