The Binghamton Theater Organ Society
PO Box 1353
Binghamton, NY 13901-1353

To order tickets, print this form and send it to our Post Office Box. If mailed before September 13, 2008 your tickets will be mailed back to you at the address given. After then, pick them up at the Forum Theater Box Office on the day of the show. Make checks payable to BTOS.

 

NAME(S) ________________________________________________________
ADDRESS ________________________________________________________
CITY ___________________________________________________________
STATE, ZIP _____________________________________________________
TELEPHONE ______________________________________________________
E-MAIL _________________________________________________________


TO BECOME A SUPPORTING MEMBER - OR IF YOU ARE A MEMBER USE THIS FORM:

ONE YEAR'S MEMBERSHIP STARTING THE DATE RECEIVED: $ 20
NUMBER OF FAMILY TICKETS _____ @ $25 $_____
NUMBER OF SINGLE TICKETS _____ @ $12 $_____
NUMBER OF STUDENT SINGLE TICKETS _____ @ $6 $_____
TOTAL ENCLOSED $_____