
Dance Gallery Melrose


THE DANCE GALLERY
TICKET ORDER FORM
Saturday, June 11, 2022, at 2 p.m.
NAME: _________________________________________________ TELEPHONE: _____________________
NUMBER OF TICKETS FOR SATURDAY, JUNE 11, 2022 at 2 p.m. _______ @ $24.00 =_____________
*Price includes a $1.00 donation to restoration fee required by City of Melrose per ticket sold.
“ A 6 ticket minimum will be strictly enforced.”
TOTAL DUE _________________________
------------------------------------------------------------Studio Use Only------------------------------------------------------
SEATING __________________________________________________________
__________________________________________________________
Method of Payment - CASH ______ CHECK ______ CHECK # ______ Received by _________________