Richard Jay Simon

Artistic Director

 

 

 

Ticket Form

*To complete your order, call, mail, fax or email this form to us today.
 SENIOR DISCOUNTS APPLY TO 65 YEARS OLD AND ABOVE.

*Tickets will be released if not picked up five minutes before curtain.

*No refunds or exchanges.
*If you miss a performance, please call the Box Office immediately so that we can assist you in rescheduling for another performance for a $5 per ticket administrative fee. Unused tickets can be returned to the Box Office for a tax-deductible donation for which we will give you a certified receipt.

1. Please complete the name and address section below

Name  
Address  
City/State/Zip  
Telephone  
E-mail  

    2. Your purchase

Your order:        
Adult Flex Pass ($149) GREAT VALUE!
Senior Flex Pass ($128) GREAT VALUE!
Student Flex Pass ($64) MUST BE FULL TIME!
Gold Membership ($50)
*Per individual subscription		 SIT IN THE FRONT ROW!!!
Adult Tickets ($32)
Senior Tickets ($27)
Student Tickets ($15) MUST BE FULL TIME!
Gift Certificates ($32)
Promotion Code
Tax-Deductible Donation
Special Instructions, performance date requests or any comments that you have  
Total Amount Due

3. Your payment

 I am sending a check made payable to Mosaic Theatre

     12200 West Broward Blvd., Plantation, FL 33325

Please bill my credit card

Visa    Mastercard    Discover    Amex

Name On Card

Card Number

Exp. Date

 

How did you hear about the show?  

 

MAIL TO MOSAIC THEATRE, 12200 West Broward Blvd., Plantation, FL 33325

PHONE (954) 57-STAGE (78243)        FAX (954) 473-4713

 

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American Heritage Center for the Arts, 12200 West Broward Boulevard, Building 3000
Plantation, Florida 33325,  phone: (954) 577-8243