Ticket Request Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=82 BGCOLOR="#CCCC99" TEXT="#080000" bgproperties="fixed" background="0ff8dfe1esnpes.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>Bedford Dance Center</B></FONT><B>     </B><B>|</B><B>     </B><A HREF="index.htm" TARGET="_top" TITLE="Bedford Dance Center"><U><B>home</B></U></A></div> <div> <A HREF="id55.htm" TARGET="_top" TITLE="TShirt/Sweatshirt Order Form"><U>T-Shirt/Sweatshirt Order Form</U></A>   |   <B>Ticket Request Form</B>   |   <A HREF="id28.htm" TARGET="_top" TITLE="Registration Form"><U>Registration Form</U></A>   |   <A HREF="id47.htm" TARGET="_top" TITLE="Video Request Form"><U>Video Request Form</U></A>   |   <A HREF="id54.htm" TARGET="_top" TITLE="Playbill Ad Form:"><U>Playbill Ad Form:</U></A>   |   <A HREF="id58.htm" TARGET="_top" TITLE="Spring Workshop Registration"><U>Spring Workshop Registration</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=398 BGCOLOR="#CCCC99" TEXT="#080000" bgproperties="fixed" background="0ff8dfc3.jpg"> <div> <I>Ticket Request Form</I></div> <div> <B><U>The Nutcracker Suite</U></B></div> <div> <B>Saturday, December 13th @ 2:00</B></div> <div> <B>Bedford High School, Bedford, NH</B></div> <bR> <div> <B><U>TICKET FORMS WILL NOT BE ACCEPTED UNTIL MONDAY, OCTOBER 20TH!</U></B></div> <bR> <div> <B>NAME</B>:______________________________________________________________________________________  </div> <div> <B>ADDRESS:</B>__________________________________________________________________________________</div> <bR> <div> <B>TEL:</B>________________________                          <B>E-Mail:</B>_____________________________________________</div> <bR> <bR> <div> <I>TICKET PRICE:  $14/each                          </I><FONT SIZE="4" COLOR="#FF0000" FACE="Arial" ><I>~ No Exchanges or Refunds ~</I></FONT></div> <bR> <div> <B>Saturday 1:00 Performance:            ______ # tickets</B></div> <bR> <div> <B>Saturday 6:00 Performance:            ______ # tickets              </B></div> <bR> <div> <B>                                                                                                          Total Tickets Ordered: _____________</B></div> <div> <B>          </B></div> <bR> <div> <B><U>Preferred Seating</U></B><B>:  </B></div> <bR> <div> Kindly indicate your seating preference (1-3).  We will do our best to accommodate your request, however, </div> <div> we cannot make any guarantees.  Tickets and seating are filled on a first come/first serve basis.</div> <bR> <div> <B>Seating Preference:</B>    <B>____Left Stage     ____Right Stage     ____Center Stage     ___Closest</B>   </div> <div> (as you face the stage)</div> <bR> <div> Please return this form along with your payment to:               <FONT SIZE="3" COLOR="#000000" FACE="Arial" >Bedford Dance Center</FONT></div> <div> 172 Route 101, Bedford, NH  03110</div> <bR> <div> Tickets may be picked up at the studio approximately one week after placing order.  </div> <div> If you would like your tickets mailed to you, please include a self-addressed, stamped envelope. </div> </td> </tr></table></body>