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
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