2015-2016 Build Your Own Series Order Form

20 DuPage Court, Elgin, IL 60120  847-888-4000  www.ElginSymphony.Org
2015-2016 Build Your Own Series Order Form
(print and mail – order processing begins May 1st)
Name: Address: City/State/Zip: Phone Number: E-mail Address: Pricing: Single Ticket Price 10% off discounted price
Green Section Seating: $30.00 $28.00*
Red Section Seating: $45.00 $41.50*
Gold Section Seating: (Hemmens Only) $65.00 $59.50*
*Includes city ticket tax
Hemmens Cultural Center
45 Symphony Way
Elgin, IL 60120
Seating Preferences: Color Zone:  Main Floor  Green Section  Balcony (Hemmens Only)  Red Section  Gold Section (Hemmens Only)
Schaumburg Prairie Center for the Arts
201 Schaumburg Court
Schaumburg, IL 60193
Seat as Viewing Stage:  Center Stage  Left of Center Stage  Right of Center Stage
Special Request:
 Aisle Seat
 Wheelchair Seating
Other requests to be considered during placement: Friday and Saturday performances begin at 7:30 p.m. Sunday performances begin at 2:30 p.m.
How to Calculate 2015-2016 Build Your Own Series Order
STEP 1: Determine Number of Concerts to Attend
A minimum of three concerts from the list below are required to utilize the Build Your Own Series option.
STEP 2: Determine Desired Seating Section
Utilizing the maps on the reverse side, determine which colored seating section is desired.
STEP 3: Choose Your Concerts
Use the table below to make your concert and date selections applying the following price structure:
Pricing Zone Single Ticket Price 10% discounted price
Green Section Seating: $30.00 $28.00*
Red Section Seating: $45.00 $41.50*
Gold Section Seating: (Hemmens Only) $65.00 $59.50*
*Includes city ticket tax
# of
Discounted
Total Due Per
Concert Name and Date Selection
Tickets
Price Per
Concert
(be sure to mark your choices)
Needed
Ticket
Classics
1
Pops
1
Pops
2
Classics
2
Classics
3
Classics
4
Pops
3
Classics
5
Classics
6
Classics
7
 Lynn Harrell Plays Tchaikovsky
 Sat. Oct. 3  Sun. Oct. 4
 Out of This World: Sci-Fi Movie Classics
 Fri. Oct. 16*  Sat. Oct. 17  Sun. Oct. 18
 Musical Chills & Thrills
 Sat. Oct. 31  Sun. Nov. 1
 French Connection with Isabella Lippi
 Sat. Nov. 21  Sun. Nov. 22
 Andrew Grams Plays Violin
 Fri. Jan. 8*  Sat. Jan. 9  Sun. Jan. 10
 Copland & Shostakovich
 Sat. Jan. 30  Sun. Jan. 31
 A Rodgers & Hammerstein Celebration
 Fri. Feb. 12*  Sat. Feb. 13  Sun. Feb. 14
 Brahms & Ives: No Limits
 Sat. Mar. 12  Sun. Mar. 13
 Rachel Barton Pine: A Tribute to Maud Powell
 Fri. Apr. 1*  Sat. Apr. 2  Sun. Apr. 3
 Season Finale: Bernstein & Mahler
 Sat. Apr. 30  Sun. May 1
X $
= $
X $
= $
X $
= $
X $
= $
X $
= $
X $
= $
X $
= $
X $
= $
X $
= $
X $
= $
*Friday performance at the Schaumburg Prairie Center for the Arts
Grand Total:
$
STEP 4: Make Payment
$ $ Calculated total for my Build your Own Series Selections
I would like to add a donation  one-time payment  recurring monthly starting in the month of $ $
5.00
$ Total for Disney or Holiday tickets I would like to add to this order (I have included the form)
Order Fee
Total Amount Due
Check Number  Visa
 Mastercard
 Discover  American Express
Card # Exp Cardholder Signature