High school night order form

The Elixir of Love

Nov. 9, 2016, 7:00 p.m.

Contact Name *
Position *
Email *
Contact Phone *
School Name
School District
School Address *
School City *
School State *
School Zip *
School Phone *
Are you a Title 1 School?
Number of Orchestra Tickets ($28)
Number of Orchestra Wheelchair Tickets ($28)
Number of Loge Box tickets ($28)
Number of Founders Box Tickets ($28)
Number of Grand Tier Tickets ($13)
Number of Grand Tier Wheelchair Tickets ($13)
Number of Balcony Tickets ($13)
Total Number of Tickets *
Total Due *
Number of Buses
Payment Information  
Payment Method
  *An HGOco representative will call you to confirm the details of your order before processing a credit card payment.
How did you hear about HGO’s Student Performances?
Check YES if you would like an HGO Guild member to come do a FREE 35-minute presentation to your students on The Elixir of Love. An HGO representative will be in touch to schedule at your convenience.