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 6/27)
TIME (11am
on Wed only)
DAY DATE TIME
Granny Applebutter
(6/25-7/12)
_________ _________ ________
Pig a Party
(7/16-8/2)
_________ _________ ________
Paddington Bear
(8/6-8/23)
_________ _________ ________
Payment by check / VISA or MC
Card # __________________________________________________ Exp.
__________
Remember: Parents may purchase KIDCARDS, too.
No.
of KIDCARDS __________ @ $18.00 = ________________
Tax
deductible contribution = _________________
TOTAL = _________________
Complete and mail to:
KIDCARDS @ Little Lake Theatre Co 500 Lakeside Dr. South Canonsburg,
PA 15317
