2017-2018 Season Brochure Meyerhoff Season Brochure | Page 29

Fixed Series Order Form

Fixed Series Order Form

( see reverse for Choose Your Own Six-or-More Concert Series form )
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SERIES :
SECTION 1ST CHOICE :
SECTION
2ND CHOICE :
NO . OF SEATS
PRICE EACH
SUBTOTAL
SPECIAL EVENTS AND ADD-ONS :
SECTION 1ST CHOICE :
SECTION
2ND CHOICE :
NO . OF SEATS
PRICE EACH
SUBTOTAL
NAME : please print
PATRON NUMBER : if one appears on the back SOURCE CODE : if one appears on the back
ADDRESS :
CITY : please print STATE : ZIP CODE :
PREFERRED PHONE : please print ALTERNATE PHONE :
EMAIL ADDRESS : to receive special offers
BIRTHDATE : to receive special birthday offers
Billing Information
FULL PAYMENT ENCLOSED
PAYMENT PLANS Payment plans only available for orders placed by 5 / 15 / 17 . Orders placed after this date must be paid in full . A credit card is required for the 4 payment option . Please provide a card with an appropriate expiration date .
One half payment enclosed , automatically charge my credit card for the balance on 6 / 15 / 17 . One half payment enclosed , please mail me a bill for the balance ( must be paid in full by 6 / 15 / 17 ). Bill me in 4 installments . First payment enclosed , remaining payments automatically charged on 6 / 15 , 7 / 15 & 8 / 15 . Please note that choosing this option will delay the mailing of your tickets .
CHECK ENCLOSED MAKE CHECK PAYABLE TO “ BSO ”
CHARGE THE FULL AMOUNT TO MY CREDIT CARD
AMERICAN EXPRESS
Pay by : DISCOVER MASTERCARD VISA
CREDIT CARD NO .: EXPIRES : SIGNATURE :
PARKING Reserve parking vouchers for the concerts on your series by ordering in advance at a special subscriber rate . Pre-paid vouchers will be accepted at the Cathedral Street Garage or the Symphony Center Garage on Park Avenue and cost $ 10 per voucher . We will mail you a parking voucher for each concert in your series .
QUESTIONS ? We ’ re happy to assist you with your order . Call us at 410.783.8000
STANDARD SERIES SUBSCRIPTION AND SPECIAL EVENTS TICKET SUBTOTAL = $
MAKE A GIFT TODAY = $
TOTAL # CONCERTS X $ 10 PER PARKING VOUCHER ❑ CATHEDRAL STREET GARAGE OR ❑ SYMPHONY CENTER GARAGE
TOTAL DUE = $
MEYERHOFF