Please fill out and print this form

Mail to:
Methow Valley Chamber Music Festival
P.O. Box 249
Winthrop WA 98862
 
Name: 
Address : 
City: 
State: 
Country: 
Zip Code: 

Yes, I would like to order tickets
 
  Number
of tickets
  Total
Adult tickets before July 22nd: $20.00
$
Adult tickets after July 23rd: $22.00
 $
4/75 Flex Pass at $75.00
 $
August 1st Benefit Concert and Wine Tasting $50.00
 $
Additional Donation (optional):
 $
 
Total:
 $

                       Credit Card #:  
   Exp Date:
 /
     
Signature:__________________________________________