Friends Of Old Time Music And Dance

FOOTMAD

Concert Ticket Request
2008-2009
Concert Series

To request individual concert tickets:
1. Fill out and print this form.
2. Make out a check to "FOOTMAD"
3. Mail form and check to:
         FOOTMAD, PO Box 1684, Charleston, WV 25326
Name
Address
City/ State/ Zip        
Home Phone/ Work Phone    
Email
Check one of the following: Add me to your mailing list. Update my address on your mailing list.
    Concert: Select from list ...
   		Number
of Tickets		 Single Ticket Price
(select concert from list)		 Total $
     General Adult Admission $20
     Senior $15
     Student $10
     Children under 13 are free. Pick up children's tickets at the gate.  
  Total Enclosed    

Comments:

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