Madrigal Dinner
Annual Holiday Tradition
since 1983
 
Student Union
December 11–14, 2014
(937) 775-5544
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About the Dinner
Cast and Crew
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Order Tickets  

Please print and complete the following form
Name: ___________________ Organization: _________________________________
Address: _____________________________________________________________
Email: _______________________________________________________________
City/State/Zip: _________________________________________________________
Phone (daytime/evening): _________________________________________________

Note: Orders will be processed in the order they are received and as space permits. To avoid the possibility of being closed out, please indicate your evening preferences (first through fourth choices)

(circle one)
Priority    AA  A  B
 Qty.=Total
 _____  Thursday, December 13, 2012, 7:00pm $50 $40 $35  x_____ = $______
 _____  Friday, December 14, 2012, 7:00pm $50 $40 $35  x_____ = $______
 _____  Saturday, December 15, 2012, 7:00pm $50 $40 $35  x_____ = $______
 _____  Sunday, December 16, 2012, 5:00pm $50 $40 $35  x_____ = $______

Wine List

     Qty.
 Cabernet-Merlot Blend $19.50/bottle  x_____ = $______
 White Zinfandel $19.50/bottle  x_____ = $______
 Chardonnay $19.50/bottle  x_____ = $______
 Non Alcoholic Wine $12.00/bottle  x_____ = $______
+ Service fee                    $      1.50
Total Due                = $______
Method of payment:(Please circle one.)
Check(Payable to WSU Madrigal Dinner)    Credit/Debit
*For payment by credit or debit, please call the Box Office at (937) 775-554.
 
 
Send a brochure to a friend:
Name_____________________________________________________
Address___________________________________________________
City/State/Zip________________________________________________
3640 Colonel Glenn Highway - Dayton, Ohio - 45435
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Last updated: Thu. Jul-19-12, 11:43
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