KIDCARD
Order Form
Complete and mail to:
KIDCARDS @ Little Lake Theatre Co 500 Lakeside Dr. South
Canonsburg, PA 15317
NAME
_________________________________________________________________
STREET
_______________________________________________________________
CITY ________________________________STATE ______ ZIP
__________________
PHONE
(______)_________________________________________________________
EMAIL
_________________________________________________________________
SELECT:
DAY
(WED / FRI / SAT)
DATE
(Example: 6/23)
TIME
(11am on Wed only)
DAY DATE TIME
Cinderella
(6/23 - 7/10) _______ ________ ________
Giggle, Giggle,
Quack
(7/14 – 7/31)
_______ ________
________
Two
Dumb Dogs
(8/4 - 8/21)
_______
________ ________
Payment by check or VISA / MC / Discover
Name on card
___________________________________________________________
Card # __________________________________________________ Exp.
__________
Please note: $2.50 will be added to orders paid with a credit
card to offset bank processing fees.
Remember: Parents may purchase KIDCARDS, too.
No. of KIDCARDS __________ @ $20.00 = ________________
Tax deductible
contribution = ________________
TOTAL =
_________________
