Print this form, fill it out and send it with your check or money order made out to "Maggie's Little Theater" to the following address:

Maggie's Little Theater
c/o St. Margaret Parish
66-05 79th Place
Middle Village, NY 11379

I would like to order tickets for "Man of La Mancha" as follows:

  Select your Performance date (check one):

_______ Saturday, June 30, at 8:00

_______ Sunday, July 1, at 2:30

_______ Saturday, July 7, at 2:30

_______ Sunday, July 8, at 2:30

_______ Friday, July 13, at 8:00

_______ Saturday, July 14, at 8:00

Number of Tickets:
_______ Adult @ $20.00 Each						Subtotal: ______________

_______ Senior (65 and older) and Child (11 and under) @ $17 Each	Subtotal: ______________



				TOTAL/AMOUNT ENCLOSED: _________________

 

Name ________________________________________________________________	

Address _____________________________________________________________	

_____________________________________________________________________

E-Mail ______________________________________________________________

Telephone ___________________________________________________________
PLEASE CHECK ONE:
_____ Mail me my tickets		_____ Hold my tickets at the box office
	_____ I will pick up my tickets at the rectory office (M-F 9-5)
ORDERS RECEIVED AFTER JUNE 23 WILL NOT BE MAILED!