Advance Ticketing Order Form
The Portland Megaband Dean Kenty Memorial Dance
Saturday, March 8, 2008, 8PM

  1. Print this form and provide all information requested.
    (Or write out the same information in full.)

  2. Write a check for the full amount payable to PCDC.

  3. Required! Please enclose a Self Addressed and Stamped Envelope (SASE) to be used to return the tickets to your address.

Your tickets will be returned to you promptly in your SASE.

Ticket orders must be postmarked on or between
January 10, 2008 and February 27, 2008.

Mail this form, your full payment check,
and the SASE to:

Megaband Ticketing
Lanny Martin
4405 SW Redondo
Portland, OR 97239-1389

Please provide the following contact information:

Name

Street Address

City

State/Province

Zip/Postal Code

Day Phone

Evening Phone

E-mail

Please provide the following ordering information:

For Members* of these music organizations

Quantity

  

Sub - Total

$12.00/ticket=

$

$12.00/ticket=

$

General Admission

$15.00/ticket=

$

Seniors (65+) and Students with ID

$9.00/ticket=

$

Total Number of Tickets Ordered

Total Paid=

$

*Member tickets are for active members of PCDC, PFS, or other dance and/or community music organization.
Make your check payable to PCDC