2012 Hot Steamed Jazz Festival - Ticket Order Form

Print it out, fill it out, and send it in!
_____________________________________________
Single Session Tickets: Friday & Sunday - $25.00 EACH
Single Session Tickets: Saturday Daytime - $30.00 EACH
Single Session Tickets: Saturday Evening - $30.00 EACH
All Day Saturday Pass - $50.00 EACH

Full Weekend Pass - $90 EACH
(CHILDREN UNDER 12 = $8.00)
_____________________________________________________
(A)=Adults (C)=Children

* SAVE MORE when you purchase your full weekend pass by 6/8/12 - pay only $75.00!

(A) / (C)

___/___ Friday June 22, 2012 - 7:00 pm to Midnight

___/___ Saturday June 23, 2012 Noon to 5:30 pm (Afternoon)

___/___ Saturday June 23, 2012 6:00 pm to Midnight (Evening)

___/___ Saturday June 23, 2012 All Day Saturday (Afternoon and Evening)

___/___ Sunday June 24, 2012 Noon to 5:00 pm (Free Gospel Service starts at 10:30 am)

___/___ All Sessions (Full Weekend Ticket)
            - $75.00 each if ordered by 6/8/12
            - $90.00 each if ordered after 6/8/12
___/___ Total Tickets
___/___ Total Price
METHOD of PAYMENT:

____MASTERCARD ____VISA ____AMERICAN EXPRESS - - EXPIRATION DATE: MONTH____ YEAR____

ACCOUNT NUMBER - INCLUDE ALL DIGITS:

___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/___/

Print EXACT Name Appearing on Credit Card:

__________________________________________________________________________

Signature:__________________________________________________________________

Phone:_____________________________________________________________________
PLEASE MAIL THESE TICKETS TO:

Name: _____________________________________________________________________________

Address: _____________________________________________________________________________

City: _______________________________________ State:_________________ Zip: ____________
Send your completed Order Form to:
The Hot Steamed Jazz Festival
P.O. Box 293
Essex, CT 06426-0293

Note: Orders received after 6/8/12 will be placed on our attendance list only; no confirmation will be sent back you. If you would like a confirmation via email, please include your email address:________________



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Last Revised: 28-Jul-11
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