Pride of Iowa Barbershop Chorus
"Grand Night on Broadway"
2011 Spring Show
7:00 PM Ticket Order Form

Performed Saturday, May 7, 2011 7:00 PM
at Hoyt Sherman Auditorium
Des Moines, Iowa

To order or request information just fill-in the blanks below.
Privacy Statement: None of this information will be used for any other purpose but to communicate
with you about this  "Grand Night on Broadway" show ticket order .

      Your Name: 
           Address:  
                  City:  State: Zip:
** We will mail your tickets to you. **

Your email address(required) :
(Your email address is required to communicate with you about your order.)

Best phone number to contact you:  

Alternate phone number to contact you
:  
 
** We will call or email you to confirm your order. **

ALL seats are reserved for show time at 7:00 PM.
I want $18 adult 7:00 PM tickets.
I want $5 student tickets (18 years old and younger)7:00 PM show.

Payment method:

VISA and MASTERCARD accepted

Choose: MasterCard        Visa   
Card Number (xxxx  xxxx  xxxx  xxxx):

Expiration date (MM/YYYY)

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I prefer not to give my credit card information over the internet.
    Please contact me for payment arrangements.

I will pay with cash or check.
    Please contact me for payment arrangements.

Payment must be received
before tickets for the show will be mailed.
Please call Mike at (515) 259-0764 with questions.

My order was referred to the internet by Pride of Iowa member:

Please enter special needs information, questions, comments here:

Please check to see that all the information entered above is correct.
Click "Submit Order" if correct, click "Clear Form" to start over.