A NOT-FOR-PROFIT, MEMBER SUPPORTED LISTENING ROOM
7 East Fourth Street, Bethlehem, PA 18015-1601 (610) 867-2390
Box Office Hours: 2 pm - 6 pm, Tuesday through Saturday

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ADVANCE SALES ORDER FORM FOR MAIL-INS and FAXES


 		 Note: Advanced Sales are also available by credit card via phone to (610) 867-2390 or FAX (610) 691-3057.

Do not use this form for Credit Card Sales Via the Web, click here, go to the event, then use the Shopping Cart System for those orders.

Please read Advance Sales information before ordering. Click here.

Please print out, then fill out the following form
and send to:
Godfrey Daniels
7 E. 4th Street
Bethlehem, PA 18015
 

ARTIST:

SHOW DATE:

SHOWTIME:  

NUMBER OF SEATS:

MEMBERSHIP TYPE:

Check method of payment

 CHECK/MONEY ORDER ENCLOSED FOR: $

  CHARGE CREDIT CARD FOR $ (include $1 per ticket handling charge).

 CC# ---

CC  Expiration Date      VISA               MASTERCARD

Signature ____________________________________________

 

 

NAME:
 

ADDRESS:



CITY:

STATE ZIP:

PHONE: