Ticket Order Form
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"><html><head><META http-equiv="Content-Type" content="text/html; charset=utf-8"><title>Ticket_Order_Form_2010.doc</title><style type="text/css" media="print">.hide{display:none}</style></head><body style="margin:0;padding:0"><div class="hide"></div><div style="margin:1ex"> <div> <p align="center"><font size="3" face="Verdana"> </font></p> <p align="center"><font size="2" face="Verdana"><b>MAIL TICKETS TO </b></font></p> <p align="center"><font size="2" face="Verdana"><b>(Please print)</b></font> <br> </p> <ul><p><font size="2" face="Verdana"> NAME ______________________________<WBR>______________________________<WBR>___</font> <br> </p></ul> <ul><p><font size="2" face="Verdana"> ADDRESS ______________________________<WBR>______________________________</font><WBR> <br> </p></ul> <ul><p><font size="2" face="Verdana"> CITY ______________________________<WBR>_STATE _________ ZIP_______________</font> <br> <br></p></ul> <ul><p><font size="2" face="Verdana">For payment by credit card please return the following information with your ticket order:</font> <br> </p></ul> <ul><p><font size="2" face="Verdana"> Type of Card _______ Name on the Card ______________________________<WBR>__</font> <br> </p></ul> <ul><p><font size="2" face="Verdana"> Card Account Number ________________________ Card Expiration date ________</font> <br> </p></ul> <ul><p><font size="2" face="Verdana"> Card Holders Signature __________________________ Date _________________</font> <br> </p></ul> <ul><p><font size="2" face="Verdana"> Phone ______________________________<WBR>______________________________<WBR>__</font> <br> </p></ul> <br> <br> <ul><p><font size="2" face="Verdana">Please send above information to: </font> <br> </p></ul> <ul><p align="center"><font size="2" face="Verdana"> TICKETS/American Beethoven Society</font></p></ul> <ul><p align="center"><font size="2" face="Verdana">San José State University</font></p></ul> <ul><p align="center"><font size="2" face="Verdana">One Washington Square</font></p></ul> <ul><p align="center"><font size="2" face="Verdana">San Jose CA 95192-0171</font> <br> </p></ul> <ul><p align="center"><font size="2" face="Verdana">Your payment information can also be faxed to 408 808 2060</font></p></ul> <ul><p align="center"><font size="2" face="Verdana">For further information call 408 808 2058</font></p></ul> </div> </div></body></html>
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