2011 Concert Booking Form — TOSA (SA) (JULY ONLY)

 

Concert artist’s name:   Nathan Avakian (USA)

Sunday 10 July .2011 at 2.00 pm  Capri Theatre

 Print this page, fill in the details (don’t forget the artists name and the date of the concert) and post with your cheque, money order or credit card details to:

 

Capri Theatre Box Office

PO Box 307

Goodwood SA 5034

OR

FAX details (credit card payments only) to:

Capri Theatre Box Office

(08) 8373 4239

 

NOTE: DO NOT e-mail credit card details!

John MacNally concert poster

Wheelchair access to ground floor

(special area MUST be BOOKED)

TOSA banner

Ticket Prices [Includes GST]

No. of Tickets

Amount

 

Preferred

Adults @ $30.00 each

 

 

 

 

$……………

 

Seating Option

Concession @ $25 each

 

 

 

 

$……………

 

 

TOSA Member @ $20 each

 

 

 

 

 

$……………

 

 

Upstairs

 

 

 

 

 

 

 

 

Downstairs

Groups (10+) @ $20 each

 

 

 

 

$……………

 

 

Best available

Children under 16 yrs FREE

[Accompanied by an adult]

 

 

 

 

NA

 

 

Wheelchair access & seating

Postage  & booking  $2.00

 

 

 

 

 

$2..

 

 

 

Totals

 

 

 

 

$……………

 

 

 

 

 

 

 

 

 

 

 

*TOSA Membership No. [Required for TOSA rates]

 

 

 

Name on card:……………………………..       Signature:………………………….

 

Expiry Date:         /

Name:

 

 

…………………………………………………………..

 

Phone:

 

………………………….

Address:

……………………………………………………………

 

…………………………………………………………...

 

Post Code:

 

 

………………………….

E-mail:

………………………………………………………………………...

Date:…………………...

Card No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of credit card

 

 

 

 

MasterCard

 

 

 

Visa