2011-2012 Order Form

Ticket Order Form

You can now reserve your tickets ONLINE in three easy steps. If you have any questions, e-mail gandree@siue.edu or contact the Fine Arts Box Office in Dunham Hall at (618) 650-5774.

Step 1: Select the ticket(s) you would like to reserve below. Click the “Calculate” button to confirm the total. Note: a $2 service and handling fee applies to credit card orders.

	# of sub- scriptions	SIUE Staff, Retirees, and Alumni Seniors 65 or older	General Single	Students		Total
	all 8 shows	Ticket	Ticket
Three Dog Night October 8, 2011		x $20	x $25	x $13	=	$
Zucchero October 20, 2011		x $20	x $20	x $13	=	$
Neil deGrasse Tyson December 7, 2011	SOLD OUT	x $15	x $28	x $13	=	$
Green Fire & Curt Meine February 2, 2012		x $10	x $15	x $10	=	$

Green Fire & Curt Meine February 3, 2012		x $10	x $15	x $10	=	$
Ken Waldman February 22, 2012		x $15	x $20	x $13	=	$
Nrityagram March 16, 2012		x $20	x $25	x $13	=	$
SIU Orchestras & David Kim March 28, 2012		x $15	x $15	x $13	=	$
Squonk June 6, 2012		x $20	x $25	x $13	=	$
Subscription x8 events	x $123				=	$

Subtotal						$
Service fee of $2.00 for credit card orders						$
My Contribution to Arts & Issues						$
Total Ticket Order						$

Name:
Address:
City:
State:
Zip:
Daytime Phone:
e-mail:

	Where did you learn of the event(s) at SIUE?
	Radio
	Newspaper
	Mailing
	Other:

	Select how you would like to pay for your tickets:
	Check
	Mastercard
	Visa
	Discover
	American Express

	We will contact you to take your credit card information. If you are paying by check: Make it payable to the SIUE Foundation and mail to: Arts & Issues SIUE Box 1777 Edwardsville, IL 62026-1608