Name_______________________________________________________________
Address______________________________________________________________
City/State/Zip__________________________________________________________
Phone (day) ______________________ (evening) _________________________
Email _______________________________________
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Choose Your Subscription and Calculate Price
Series Subscriptions - One ticket to each show in the Hanover season.

Choose your series from the series chart.
Series Request ________________

Seating Preference/Special Needs ___________________________________

Number of 3 show subscriptions __________ x $91.20 = ______________

Number of 3 show subscriptions __________ x $85.50 = ______________
$85.50 price valid for current Barksdale Signature Season Willow Lawn subscribers

Tax-deductible Contribution
I would like to make a contribution to Barksdale Theatre $__________

Payment Information
Subscription & Donation Total $__________

Check (to Barksdale Theatre) or Visa MasterCard AMEX

Card #______________________________________ Exp ______/______
Name as it appears on card (print)_________________________________
Signature____________________________________________________

Questions? Call 282-2620. Please mail this form to:
Barksdale Theatre, 1601 Willow Lawn Drive, Richmond, VA 23230