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Fax: 920-868-1643
Birch Creek
P.O.Box 230
Egg Harbor, WI 54209-0230
Tickets may also be ordered by phone Monday-Friday 9 am - 4 pm. Call 920-868-3763
Regular ticket prices: Adults $27 Young Adults (12-17) $13 Children (11 & under) $6
Book of 8 ticket coupons (may not be redeemed for benefits or special events) $204 (save $12)
AMOUNT
________ tickets for
_______________ CONCERT DATE
@ $ _______=
$_______
________ tickets for
_______________ CONCERT DATE
@ $ _______=
$_______
________ tickets for
_______________ CONCERT DATE
@ $_______=
$_______
________ tickets for
_______________ CONCERT DATE
@ $ _______=
$_______
________ books of 8 adult coupons @ $ 204 each
$_______
TOTAL FOR TICKETS =
$_______
Choose One:
Mail my tickets to me ($3 fee)
TICKET MAILING FEE ($3)=
$_______
Hold my tickets at the box office (no charge)
_____ Three Miles East CDs @ $20 ______ Silver Celebration CDs @ $15
$_______
CD MAILING FEE ($3) =
$_______
TAX DEDUCTIBLE DONATION
$_______
TOTAL PAYMENT ENCLOSED
(All prices include applicable sales tax)
$_______
Mailing Name: ________________________________
Mailing Address: _____________________
City/State/Zip: _________________________________
Phone Number: ______-______-_______
My check / money order is enclosed
Please bill myVisa MasterCard Diners Club Discover
Name on Card: (Please Print) _____________________________________________________
Adults $27 
Mail my tickets to me ($3 fee)