THE SHEBOYGAN THEATRE COMPANY ONLINE SINGLE TICKET FORM

"The King and I"

Please print this form.

I’D LIKE TO ORDER TICKETS FOR "THE KING AND I"

LAST NAME__________________________

FIRST NAME_________________________

ADDRESS ___________________________

CITY _______________________________

STATE _______________ZIP ____________

PHONE ______________________________

EMAIL _______________________________

"The King and I" Performance Date, pick one:
r Friday, December 5th: 7:30 p.m.,
r Saturday, December 6th: 7:30 p.m.,
r Sunday, December 7th: 2:00 p.m.,
r Tuesday, December 9th: 7:30 p.m.,
r Wednesday, December 10th: 7:30 p.m.,
r Thursday, December 11th: 7:30 p.m.,
r Friday, December 12th: 7:30 p.m.,
r Saturday, December 13th: 2:00 p.m.,
r Saturday, December 13th: 7:30 p.m.

___Adult Tickets @ $20.00 plus $1 tax/ticket =__________
___Senior Citizen @ $16.00 plus 80 cents tax/ticket=_____
___Student Tickets @ $10.00 plus 50 cents tax/ticket=____

                                                                       Total=________          

Method of Payment þ

r Check made payable to The Sheboygan Theatre Company

r Charge my: r Visa r Mastercard

Credit Card Number

________________________________________________

Expiration Date____________________________________

V-Code, 3 digit security code (on back of card)___ ___ ___

Signature:________________________________________

Please mail this form with your payment to

THE SHEBOYGAN THEATRE COMPANY

607 SOUTH WATER STREET
SHEBOYGAN , WI 53081

Tickets will be held at the box office and may be picked up the
evening of that performance, 45 minutes before show curtain.