MAIL this FORM & CHECK to: CEDAR SUMMERSTOCK THEATER  PO Box 182 St. Ansgar, IA 50472

​

Your Name_______________________________________________________________________________

 

Mailing Address___________________________________________________________________________

 

Email Address_________________________________________________________________________

 

                                                                                                            Qty                  Subtotal

Adult Season Tickets $72 + $3 Handling Fee = $75                X          ________=      ________

 

Student Season Tickets $36 + $3 Handling Fee = $39            X          ________=        ________

 

*I WANT TO HELP kick-start the 2021 SEASON with a $________ tax deductible DONATION!

 

                                                                                                            TOTAL DUE     $________

 

____ ENCLOSED IS MY CHECK (Made out to: CEDAR SUMMERSTOCK THEATER)

 

____ CHARGE my Visa/MC/AmEx/Discover Card

 

CARD # ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ EXP-___ / ___ CW- ________

 

NAME ON CARD________________________________________________________________________

 

Billing Address_________________________________________________________________________

 

City/State/Zip__________________________________________________________________________

 

PLEASE PRINT MY NAME IN THE DONOR LIST AS FOLLOWS: