Lewis & Clark Expedition
Village Vocal Chords
American Heritage Concert
 

Ticket Order Form

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

_______  Lewis & Clark Expedition Sunday March 12 3:00 @ $15                           ________

_______  Village Vocal Chords Sunday March 18 3:00 @ $15                                  ________

_______  American Heritage Concert Sunday April 15 3:00 @ $20                            ________

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)

If member(s) of your party serve(d) in the armed forces, provide info for American Heritage:

                                                                                                                            
Name (pronunciation)                         Army/Coastguard/Marines/AirForce/Navy