MOACT’S THEATER ON THE FLY
SEPTEMBER 16-18. 2011
PRESSER HALL, MEXICO, MO.
FOR EVENT SCHEDULE AND HOTELS/RATES CHECK OUT OUR WEBSITE . PLEASE USE ONE FORM FOR EACH PERSON AND
PLEASE PRINT.
NAME_________________________________________________
ADDRESS______________________________________________
_______________________________________________________
EMAIL_________________________________________________
PHONE________________________________________________
CHECK ONE PLEASE
_____ ADULT _____ STUDENT
CHECK ONE PLEASE
I WISH TO ACT IN A SHOW AND ATTEND THE SHOWS AND BRUNCH_______
I WILL ONLY OBSERVE THE SHOWS AND ATTEND THE BRUNCH______
ADVANCE TICKETS ARE $30.00 FOR ADULTS AND $20.00 FOR
STUDENTS.
PAYMENT AND FORM ARE DUE BY 09/09/11 FOR
THIS RATE.
PLEASE MAKE CHECK OUT TO: MoACT and mail with this form to:
MOACT
C/O ANN STINEBAKER
1739 REDBIRD COVE
ST. LOUIS, MO. 63144
THIS PRICE INCLUDES ALL SHOWS AND THE BRUNCH
AT THE DOOR PRICES ARE ADULTS $35.00 STUDENTS $20.00