Please print and send to us via mail (PO Box 738, Lakeville CT 06039) or fax (860-364-2090)
Applies to regular concert $30 tickets ONLY.
Benefits & 80th Season Celebration concert tickets are not part of the
Advance Ticket Voucher program
______ Tickets @ $27.00 advance price each for total of $__________
Applies to regular concert $30 tickets ONLY.
An Afternoon of Trios with The Parnas/Serkin Trio
______ Tickets @ $200.00 each for total of $__________
______ Tickets @ $100.00 each for total of $__________
______ Tickets @ $ 50.00 price for total of $__________
The Harlem String Quartet
______ Tickets @ $50.00 each for total of $__________
The Shanghai Quartet with Melvin Chen
______ Tickets @ $80.00 each for total of $__________
To be Sent to:
Name_____________________________________________________
Address:______________________________________________________
City:___________________________State::______Zip Code:________
Do you wish us to send an email notification to the Recipient?________
Email address of Recipient:________________________________________________
This is a gift from:
Name_____________________________________________________
Message for Card:_______________________________________________________
Please enclose payment via Check or include credit card information below:
Check__ MC__ VISA__
#________________________________Expiration Date_____________
Name as it Appears on Credit Card:_____________________________________________________
Billing Address________________________________________________
City:___________________________State::______Zip Code:________