To
order your tickets, print & complete this form.
Mail the
form with a check payable to SCCMS to:
SCCMS
117 Chancery Street
New Bedford, MA 02740
Tickets will not be mailed - your name will be listed at the box office
Children under the age of 16 - free
Program Quantity Price Total
November _________ x $18 = ________
January _________ x $18 = ________
March _________ x $18 = ________
less subscriber's discount (Save $5 on 3 concerts)
#Subscriptions _________ x $5 = (______)
Tax Deductible Contribution __________
Total Payment __________
Name: ____________________________________________
Address: ___________________________________________
City: ________________________ State: ______ Zip: _______
Telephone:________________ E-Mail: ___________________
Please enclose a check for the total with this form
