2019 ORCHESTRA AWARDS BANQUET TICKET ORDER FORM

Tickets are $15.00 each now through the early-bird deadline of  May 3, 2019.
All tickets purchased after May 3, 2019 will be at a cost of $25.00 each.
Tickets can only be purchased or refunded before 3:00pm on May 17, 2019.
No refunds will be given after that date.


Orchestra Student Name(s):____________________________________________________________

Parent / Guest Name(s): _______________________________________________________________


Entrée Selection:

# of Chicken ___________ @ $15.00 each  on or before 5/3/19 ($25.00 each after 5/3/19)       $_____________

# of Salmon ___________ @ $15.00 each  on or before 5/3/19 ($25.00 each after 5/3/19)        $_____________    

# of Pasta (Veg) ________  @ $15.00 each on or before 5/3/19  ($25.00 each after 5/3/19)     $_____________

                                                                                                                                                                   TOTAL TO PAY    $_____________

Select a Payment Method:
______   Check or Money Order  (Payable to POB)              ______    Cash
    Check Number _____________________

Please return this completed form, along with payment by the RSVP date. Early RSVP Deadline is May 3, 2019. All orders postmarked after May 3 will be charged the regular ticket price of $25.00 each. Return your order and payment in one of the following two ways:

1. Place order form and payment in an envelope with your student’s name on it; Turn it in to Mr. Smith.
2. Mail order form and payment to POB at the following address:

PO Box 1314
Perrysburg, OH 43552-1314


Questions? Contact Rebecca Hilleary:  president@perrysburgorchestras.org