THE DANCE GALLERY

                                                       TICKET ORDER FORM

                                          Saturday, June 12, 2021,  at  2 p.m.

 

 

NAME: _________________________________________________  TELEPHONE: _____________________

 

 

NUMBER OF TICKETS FOR SATURDAY, JUNE 12, 2021  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  _________________

 

Reminder: anyone unvaccinated is expected to wear a mask when attending the recital.