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20102011 SEASON GUIDE - Winnipeg Symphony Orchestra

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ORDER FORM<br />

MAILING INFORMATION<br />

❏ Ms. ❏ Mrs. ❏ Miss. ❏ Mr. ❏ Dr.<br />

Name<br />

Address<br />

City Province Postal Code<br />

DESIGN MINI-PACKS<br />

Ex: Concert Date<br />

1<br />

2<br />

3<br />

SEATING PREFERENCES<br />

Home Phone<br />

Business Phone<br />

Email<br />

Seating in some sections may be limited. To facilitate processing please indicate a second choice of series and seating locations.<br />

Seating request:<br />

1st Choice 2nd Choice<br />

❏ I require wheelchair accessible seating ❏ I require handicap parking: Permit No. _________<br />

PAYMENT<br />

Charge to my: ❏ Visa ❏ MasterCard ❏ AMEX<br />

Credit Card Account Number<br />

Expiration Date<br />

Name on Card (please print)<br />

Authorized Signature<br />

❏ My cheque(s) or money order is enclosed,<br />

payable to the <strong>Winnipeg</strong> <strong>Symphony</strong> <strong>Orchestra</strong><br />

Join the WSO e-Digest Club<br />

and sign-up to receive concert reminders, programme<br />

notes and special offers exclusively for e-Digest members.<br />

❏ Yes, sign me up for the WSO e-Digest!<br />

Seating for this series will be the same section with different seats for each concert.<br />

4<br />

5<br />

6<br />

Date__________________________________________________<br />

Series /Additional Performances Concert Date Price Price per Number<br />

For Design Mini-Packs complete list below Section Ticket/Series of Tickets<br />

Please consider a tax-deductible donation with your subscription order. YOUR DONATION<br />

- 70 - 2010 I 2011 <strong>SEASON</strong> <strong>GUIDE</strong><br />

$1.50 Restoration Fee (per individual concert ticket)<br />

7<br />

8<br />

9<br />

INSTALLMENT PAYMENT PLAN<br />

❏ I wish to pay for my season tickets in 6 installments<br />

Payment dates: 1. Today’s date<br />

2. The 15th of the following 5 months<br />

One time payment fee of $9 for cheque payments will be<br />

added to the total.<br />

GST no. 105268673RT0001<br />

<strong>20102011</strong> <strong>SEASON</strong> <strong>GUIDE</strong><br />

Grand Total<br />

10<br />

11<br />

12<br />

Total<br />

Artists, programs, dates and prices are subject to change.<br />

The WSO treats your personal information with respect.<br />

Your contact information will be used to provide you with<br />

your tickets and to keep you informed of other events and<br />

fundraising opportunities in support of the WSO. If you wish<br />

to be removed from our list, simply contact us by e-mail at<br />

boxoffice@wso.mb.ca or by phone at 204.949.3999.<br />

Order processed by:______________________________________<br />

Order taken by: __________________________________________

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