Ticket Reservation Form[1]

Golden Wings Theatre Company

Zombie Prom Ticket Request Form Name ________________________________________ Phone ______________________________________ Email ______________________________________ Date Oct. 30 (Friday) Oct. 31 (Saturday matinee) Nov. 6 (Friday) Nov. 7 (Saturday)

Time 7:00 pm 2:00 pm 7:00 pm 2:00 pm 7:00 pm

Cost

Number of tickets

Subtotal

$12 VIP $10 Adult $8 Student/Senior $12 VIP $10 Adult $8 Student/Senior $12 VIP $10 Adult $8 Student/Senior $12 VIP $10 Adult $8 Student/Senior Total

*Student / Senior rate is for K-12 or 65+ *VIP - First 10 rows of the center seats Cash or check made payable to the Council Rock South Activities Fund; in memo line write “GWTC.” Send to:

Lori Naglak Council Rock H.S. South 2002 Rock Way Holland, PA 18966

Box office:

215-944-1195

Tickets will be held at the box office and can be picked up 30 minutes before the show at the “Will Call Table”