*Name (required)
Address
City	State Zip *Email (required)
*Day Phone (required)	Other Phone

Concert in the Gallery Series ~ 2 pm – 3:30 pm
June 8	Keltish	No.   @	$ =
	Subtotal for Concert
Spotlight Series ~ 7 pm – 9 pm
June 12	Allison Robbins	No.   @	$ =
July 12	Joan Mazz	No.   @	$ =
	Subtotal for Spotlight
Saturday Kid’s Quest ~ 11 am to noon
June 7	Discover the World of Theatre	No.   @	$ =
July 5	Brass 5 Concert, 2 pm	No.   @	$ =
	Subtotal for Kid's Quest
	Check box to add $0.50 for processing & postage for tickets to be mailed
	*GRAND TOTAL = $

PAYMENT INSTRUCTIONS

We can't accept your credit card information online, so use this form to reserve your tickets.
Enter the number of the tickets you wish to purchase and then:
   - Submit the order online and we will contact you for your credit card information; OR
   - Print the form and mail it with your check, OR
   - Print the form, write in your credit card information, and mail or fax it to the office.

____ Yes, Please charge my ___ Mastercard ___ Visa ___ Discover ___ AmExp

*Acct. # ________________________________________ *Exp. Date ______________

Signature _______________________________________________________________

____ Enclosed is my check payable to The Louisa Arts Center Ck.# ______

All tickets are non-refundable. If inclement weather, call 540-967-2200 for rescheduled dates.
All information is kept secure. Receipts are available with tickets.
MAIL THIS FORM TO:
The Louisa Arts Center
212 Fredericksburg Ave.
P.O. Box 2119
Louisa VA 23093
or bring it to the Center M-F, 9-4:30.

Questions? 540-967-2200