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 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 _____ @ $40 $_____
NUMBER OF SINGLE TICKETS _____ @ $18 $_____
NUMBER OF STUDENT SINGLE TICKETS _____ @ $6 $_____
TOTAL ENCLOSED $_____
Family is classified as two adults and four children, additional is at the student rate, children under 5 free.