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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, June 5, 2010 at 8:00 pm
          F. Scott Fitzgerald Theatre  
             603 Edmonston Drive, Rockville, MD
  ORDER TICKETS DIRECLY FROM THE  THEATRE   www.rockvillemd.gov/theatre/


    Sunday, June 6, 2010 at 3:00 pm
           Langley High School  
                6520 Georgetown Pike, McLean, VA
   General Admission -- Open Seating
How many?

______
 How many?

______
How many?

______

 $ _______

                                                                                                          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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