NAME____________________________________________

STREET ADDRESS_________________________________________

CITY__________________________________

PHONE_____________________________________

SEASON TICKETS

______Adult @70.00 each=	$____________
Add $1.00 for handling and mailing	$_____1.00___
CONTRIBUTION	$____________
TOTAL	$____________

_____Check enclosed (payable to Tar River Philharmonic Orchestra and Chorus)

_____Charge to _____VISA ______MasterCard

Card Number_________________________________Exp. Date____________

Cardholder's Signature______________________________________________

Mail to: Tar River Philharmonic Orchestra and Chorus
Post Office Box 8255
Rocky Mount, NC 27804