2012-13 Order Form

2012-13 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 7 shows	Ticket	Ticket
New Dance Horizons October 11, 2012		x $24	x $27	x $15	=	$
Nikki Giovanni November 5, 2012		x $24	x $27	x $15	=	$
100 Years of Broadway November 29, 2012		x $24	x $27	x $15	=	$
Karla Bonoff March 21, 2013		x $24	x $27	x $15	=	$

La Familia Valera Miranda April 4, 2013 - Cancelled		Cancelled	Cancelled	Cancelled	=	$
David Sedaris April 16, 2013		Sold Out	Sold Out	Sold Out	=	$
Flight May 29, 2013		x $24	x $27	x $15	=	$
Subscription x7 events	x $156				=	$

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 1608 Edwardsville, IL 62026-1608