2010 Subscription Form

Phoenix Theatre Productions
P.O. Box 464, Chatswood NSW 2057

Your Address Details
Name

Address

City         Post Code

Phone      Mobile

Booking Details
Existing Subscriber Aisle   No Steps Wheelchair Access
 
I would like to subscribe to the following plays:
The History Boys Date
A Man with Five Children Date
Double Bill - Zoo Story & Wolf Lullaby Date

Payment Details
  Adults Concession Group (10 or more)
Price Quantity Price Quantity Price Quantity
1 play $26.00 $20.00 $20.00
All
Price Quantity
2 plays $40.00 (no concessions)
3 plays $54.00 (no concessions)
      Total $
I am enclosing a cheque/money order made payable to Phoenix Theatre Productions.
 
Or please debit my credit card  
Name on Card Card Type
Card Number Expiry Date
Signature