Print out this form and mail to:
Drummin' Down the Trace
P.O. Box 2594
Tupelo, MS 38803
(Phone: 1-662-842-9612)
- Make checks payable to "Drummin' Down the Trace"
- All ticket orders purchased within two weeks of the show will not be mailed
and may be picked up at the "will call" table the day of the show.
(This is to ensure you will recieve your tickets; if tickets are sent within two weeks
they may not be recieved in time)
|
Name:
|
_______________________________________
|
|
Mailing Address:
|
_______________________________________
|
|
City/State/Zip:
|
_______________________________________
|
|
Phone:
|
_______________________________________
|
|
Type of Ticket
|
Number of Tickets
|
Price of Tickets
|
Total Cost
|
|
VIP
|
|
$25.00
|
|
|
Reserved Chairback
|
|
$16.00
|
|
|
Reserved
|
|
$12.00
|
|
|
Shipping & Handling
|
$3.50
|
|
Total Payment Due
|
|
Payment Method:
____ Check enclosed
____ Visa - Card #____________________________ Exp._______
____ Master Card #____________________________ Exp._______
|
|