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The Washington Balalaika Society -- Concert Ticket Order Form
Please print this page and mail to the address shown below,
with your check or money order

.......
Performance Date
Adult
$20
Senior
$18
Student
$15
Total
   Saturday, November 19 at 8 pm
   F. Scott Fitzgerald Theatre  
       603 Edmonston Drive, Rockville, MD
                     General Admission -- Open Seating
How many?

______
How many?

______
How many?

______


$ _______
    Sunday, November 20 at 3:00 pm
   Kenmore Performing Arts Center
      Kenmore Middle School
         200 South Carlin Springs Road
            Arlington, VA
                   General Admission -- Open Seating
  ORDER TICKETS DIRECLY FROM THE  THEATRE   www.rockvillemd.gov/theatre/  or  240-314-8690
ORDER
DIRECT

FROM

THEATRE

                                                                                                              Total ticket charges:   $ ________
..
    We are happy to invite children 12 and under to attend with paying adults.  If you will be
         bringing children to the concert, please indicate how many  ______ .  Tickets will be held
         at the box office in your name on the evening of performance.   


   Send a check or money order for the total ticket charges with this form to:

           WBS Concerts
           4910 Gadsen Drive
           Fairfax  VA  22032

   Please enclose a self-addressed, stamped envelope with your order   

 Tickets are to be mailed to (orders received less than 7 days before the concert will be held at Will Call):
.
  Name _________________________________________________
.
  Address _______________________________________________
.
  City ____________________________ State _____ Zip _________
.
  E-mail address (in case of questions) _______________________________
.
  Comments:  ____________________________________________________________________
.
                    _____________________________________________________
  .
Thank you for your interest in The Washington Balalaika Society!

This space for use by the Washington Balalaika Society
.
  Date received  ________________      Date mailed ________________   Held ____________
..

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