Tri-C JazzFest Cleveland Group Order Form

Page 1

DATE_________ GROUP SALES (MUST ORDER 10 OR MORE TICKETS TO A SPECIFIC CONCERT(S) TO RECEIVE $5.00 OFF EACH TICKET)

NAME: _________________________________________________________ First Last ADDRESS:______________________________________________________ CITY: ______________________ STATE: ________ ZIP: _______________ PHONE: ______________________ Home CONCERT

__________________________ Work

#OF TIX

PRICE

TOTAL

Smooth Jazz All-Stars

_______

$45/$35/$25

$______

Medeski Martin & Wood

_______

$45/$35/$25

$______

Smokey Robinson

_______

$50/$40/$30

$______

Regina Carter

_______

$30

$______

Robert Glasper Trio

_______

$25

$______

Trombone Shorty

_______

$25

$______

Thunder from the Heartland

_______

$20

$______

Orchestre National de Jazz Around Robert Wyatt

_______

$10

$_______

Dave Sterner Quintet

_______

$10

$________

SUBTOTAL:

$________

DISCOUNT (less $5 per ticket)

$________

GRAND TOTAL:

$________

______ Master ______________________________

exp _____

3 digits ______

______ Visa ________________________________

exp _____

3 digits ______

______ Discover ______________________________ exp _____

3 digits ______

______ Am. Express ____________________________ exp _____

4 digits ______

ALL SALES FINAL – NO REFUNDS OR EXCHANGES CHECKS ARE NOT ACCEPTABLE Dee Dee Bridgewater & The Cleveland Orchestra ORDER GROUP TICKETS THROUGH SEVERANCE HALL


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