| Name |
| Address |
| City State ZIPCode |
| Telephone Area Code_______ Number __________________ |
|
Show Title |
Price |
Number of Tickets |
Total $ Amount |
| Beetle Mania Now |
$8.00 |
||
| Hershey Symphony |
$8.00 |
||
| Summer Harmony |
$8.00 |
||
| Philly Horn Band |
$8.00 |
||
| Phil Dirt |
$8.00 |
A Tax Deductible Donation _________________
Total _________________
q Check enclosed payable to The Cicada Festival/PA
Chautauqua Foundation
q please charge my Credit Card (circle appropriate card)
VISA
MASTERCARD
Account # ______________________________________
Expiration Date _________________
Signature ______________________________
Mail Order Form with a stamped self-addressed envelope to: CICADA
FESTIVAL
PO Box 637
Mt. Gretna PA 17064
The CICADA Festival
management and funding is conducted through the Pennsylvanian Chautauqua Foundation.
The Foundation is a non-profit 501(c)(3) organization,
IRS EIN #25-1891188.
A Copy of the official registration of the Pennsylvania Chautauqua
Foundation's financial information may be obtained from
the Pennsylvania Department of State by calling toll-free, within PA,
1-800-732-0999.
Registration does not imply endorsement ( Registration filed on March 28,
2001 )