Ticket Order Form
Please return this page to the ballet office when you are making your family/friends ticket purchase.
Email: firstname.lastname@example.org or mail to:
102 Commerce Parkway, Pelham, AL 35124
* Address _____________________________________________________________________
Email: _________________________________________ Phone: _______________________
All Seats are Reserved.
General Reserved $10 Adults, $5 children under 5
Reserved Orchestra Seating $15 Adults, $10 children under 5
Number of Tickets:
General Reserved _________ @ $12.00 = ________
(you will be assigned the best available at your order time, unless you specify_
Total # of seats for December 19 at 7:00 PM _______________
Total # of seats for December 20 at 2:30 PM _______________
Total Amount $______________
Please arrive 20-30 minutes prior to curtain time.
*METHOD OF PAYMENT
_____ CHECK (PAYABLE TO GREBEL DANCE) ____CASH
_____ CREDIT CARD Card number: ____________________________________________________________
Name as exactly printed on card: _______________________________
Billing address & zip code of card: _________________________________________Exp. Date: ____/______
Mail Payment and form to:
102 Commerce Parkway
Pelham, AL 35124