Nostalgia Movie Night Booking Form

Print this page, fill in the details and post with your cheque, money order

or credit card details to:

 

Capri Theatre  Box Office (Nostalgia)

PO Box 307

Goodwood SA 5034

 

OR

 

FAX details (credit card payments only) to:

Box Office

Capri Theatre

(08) 8373 4239

 

Please send me tickets for the

CAPRI THEATRE NOSTALGIA EVENT

Friday 31 December 2010 MARX BROS  (PRICES To Be Advised)

NOTE: DO NOT e-mail credit card details!

TOSA banner

Ticket Prices [Includes GST]

 

No. of Tickets

Amount

 

Preferred

Seating Option

Adult @ $TBA each

 

 

 

 

$……………

 

 

 

Concession [TOSA, Capri Movie Club & Conc Card holders] Requires membership number  - 

 

 

 

 

 

 

 

Upstairs

enter in space below, & Groups of 10 & over
                                
$TBA  each

 

 

 

 

$…………...

 

 

 

Downstairs

 

Child     @ $TBA                   

 

 

 

 

 

$..................

 

 

 

Best available

 

Postage  & booking   $2.00

 

 

 

 

 

$.2.00

 

 

Wheelchair access & seating

Totals

 

 

 

 

$………………

 

 

 

 

Name on card:………………………………... …Signature:……………………………

 

Expiry Date:      /

Name:

 

…………………………………………………………..

 

Phone:

 

………………………….

Address:

……………………………………………………………

 

…………………………………………………………...

 

Post Code:

 

 

………………………….

E-mail:

………………………………………………………………………...

Date:…………………...

Membership No (TOSA/CAPRI)

 

 

 

 

 

 

 

(Required for

concession rates)

 

 

 

 

 

 

 

 

 

 

Type of credit card

 

 

MasterCard

 

 

Visa

 

 

 

 

 

 

 

 

 

 

 

 

Card No.