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Click the Print icon  on the right side of this page to open a printer friendy copy. | Category | Price
| | Quantity | Total | Producer
| $500+ | Includes 6 season passes, playbill recognition | __________ | __________ | | Principal | $250-$499 | Includes 4 season passes, playbill recognition | __________ | __________ | Player
| $150-$249 | Includes 2 season passes, playbill recognition | __________ | __________ | Patron
| $60-$149 | Includes 1 season pass, playbill recognition | __________ | __________ | | Promoter | $50 | Includes 1 season pass, playbill recognition | __________ | __________ | Name of Season Pass Holder: (Please Print or Type) _________________________________________________________________________
Last First MI _________________________________________________________________________
Address City State Zip _________________________________________________________________________
Phone Number Email
Please include your email address if you would like reminders of ticket reservation weeks and show information. If you are a Producer, Principal, Player, or Patron, please print your name or business clearly as it should appear on the playbill: _________________________________________________________________________ Little Theatre offers the convenience of charging your subscription on your VISA or Mastercard.
Please indicate your method of payment: __ Check Enclosed __ VISA __ Mastercard Credit Card #______________________________________ Exp.___________________ Name as appears on card____________________________________________________ ________________________________________________________________________ Signature Mail this form along with payment or charge information to:
HALIFAX COUNTY LITTLE THEATRE
PO Box 23, South Boston, Virginia 24592
Any questions? Call 434-575-6291 or visit our website at www.hclt.org
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Order Form
