"April in Paris"  -  Claudia Hommel

Ticket Order Form

Indicate number of tickets for which performance(s) and cost at right.

_______  "April in Paris"  -  Claudia Hommel @ $15                                                 ________

_______  Dinner at Mon Ami Gabi in Oakbrook @ $45                                            ________

                                                                                                                   Total       ________

Enclose check payable to Maple Street Chapel or give charge card information.

Mail to:
Ken Bohl
213 West Ash St
Lombard, IL   60148-2505

Tickets will be held for will call on day of performance.  If you give an e-mail address or a phone number, you will receive confirming e-mail or phone call.

                                                                                                                            
Name

                                                                                                                            
Street address (for next year's mailing list or for credit card)

                                                                                                                            
City                                                            State    ZIP code

                                                                                                                            
E-mail address

                                                                                                                            
Phone

 O Visa
 O MasterCard

                                                                                                             
Account Number                                                 3-char code on back of card

                                                                                                             
Name as appears on card                                               Expiration date

                                                                                                         
Signature (for charge card only)