SEASIDE MUSIC THEATER 2004 FUNDRAISING EVENTS

Order Form

Lunch & Learn Series

Monday, June 14
Reserve ____ seats @ $15 per personTotal $_____
____ Turkey Lunch    ____ Ham Lunch    ____ Veggie Lunch
Monday, July 5
Reserve ____ seats @ $15 per personTotal $_____
____ Turkey Lunch    ____ Ham Lunch    ____ Veggie Lunch
Monday, July 19
Reserve ____ seats @ $15 per personTotal $_____
____ Turkey Lunch    ____ Ham Lunch    ____ Veggie Lunch

Peter Rabbit's Party

Saturday, June 12Reserve ____ seats @ $20 per personTotal $_____
Saturday, July 31Reserve ____ seats @ $20 per personTotal $_____

Midsummer Night's Disco

Saturday, June 19
Reserve ____ theater/party tickets @ $65 per personTotal $_____
Reserve ____ Subscriber upgrade or party only @ $32 per personTotal $_____

Breakfast with Beauty and the Beast

Saturday, August 7
Reserve ____ breakfast only @ $25 per childTotal $_____
Reserve ____ breakfast only @ $35 per adultTotal $_____
Reserve ____ child breakfast & theater seat @ $45 per childTotal $_____
Reserve ____ adult breakfast & theater seat @ $60 per adultTotal $_____

4th Annual Director's Gala Benefit Evening

Saturday, August 14
Reserve ____ tickets @ $125 per person includes full benefit eveningTotal $_____
Reserve ____ tickets @ $75 per person includes pre-reception and show onlyTotal $_____
Reserve ____Subscriber upgrades to full benefit evening @ $100 per personTotal $_____
Reserve ____Subscriber upgrades to pre-reception and show only @ $50 per personTotal $_____

TOTAL ALL EVENTS $__________

Method of Payment: ____ Check ____ Visa _____ MC ____ Discover

Card #______________________________________________________ Exp. Date________________________

Name:_______________________________________________________________________________________

Address:_____________________________________________________________________________________

City:_____________________________________State:_____________________Zip:_______________________

Phone (day):__________________________________________________________________________________

Email: _______________________________________________________________________________________

Return form to:

Seaside Music Theater, Inc.
PO Box 2835
Daytona Beach, FL 32120
Attn: Development Department

For additional information or to charge by phone call 386-248-0092.