Series Subscription Form

No.

Price for 5 Concerts

Total

Adult

                            
                             $ 100.00

Student

Grades 1-12

                             $   50.00

Family

Two adults and

their children (grades 1-12)

                              $ 200.00

Please Consider Making A Tax-Deductible Gift:

Grand-Total

Name: __________________________________    Phone: ________________

Address: ________________________________________________________  

City: _________________________   State: ____   Zip: ___________________

Email Address: ___________________________________________________

Method of Payment:

[_] Check (payable to Downers Grove Concert Association) enclosed.

[_] Visa [_] MasterCard Card No: ______________________________ Expires __________

Signature:_____________________________________________

Mail to: Artists Showcase West, PO Box 373, Downers Grove, IL 60515