| * Required fields |
| Name *
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| E-mail Address *
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| Address, City, State, Zip Code * |
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| Telephone * |
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| Tickets are for KRT's 2010 Production of: * |
"Paint Your Wagon"
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| Dates for "Paint Your Wagon" Show Only! |
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| "Paint Your Wagon" Luncheon Dates |
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| "Paint Your Wagon" Theatre Luncheon Package $27.00 each |
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| Family Package (Includes 2 Adults & 2 Children) @ $30.00 each |
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| Adult Tickets (22-54) @ $15.00 each |
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| Senior (55+) Tickets @ $12.00 each |
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| Student (14-21) Tickets @ $10.00 each |
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| Child (4-13) Tickets @ $8.00 each |
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| Ages 3 & Under (Free) |
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| Ticket Total $ * |
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| Payment Method * |
Check
Money Order
Visa
Mastercard
Discover
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| if payment by Credit Card, Name on Card |
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| Credit Card # |
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| Exp Date |
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| Check one: * |
Mail my tickets
Hold tickets at Theatre Box Office
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