March 6, 2015 Rhonda Vincent & The Rage Concert Ticket Order Form The Grand Theatre 26 N. 6th Street, Keokuk Iowa 7:30 p.m. Name: ______________________________________________________ Mailing Address: ______________________________________________ ______________________________________________ Phone Number: ______________________________ # of Advance Reserved Seating Tickets (main floor) ________ @ $20.00 ea Seat Selection (Please refer to Seating Chart.) (If your selected seats become unavailable while ordering, every attempt will be made to select seats in close proximity) Section (Please Circle): RIGHT CENTER LEFT Row Letter: _____ Seat Number(s): _____________________ Section (Please Circle): RIGHT CENTER LEFT Row Letter: _____ Seat Number(s): _____________________ # of Advance Reserved Handicap Tickets (main floor) ________ @ $20.00 ea Section (Please Circle) RIGHT LEFT Seat Number(s): Row N ___________ # of Advance General Admission Tickets (upper level) ________ @ $15.00 ea (No Seating Selection Available – 1st Come, 1st Serve) (Children, age 5 & under, free with lap seating) Total Due: _____________ Make Check Payable to: KACTB and Mail to: Keokuk Area Convention & Tourism Bureau 429 Main Street | Keokuk, IA 52632 For Your Records # of Rhonda Vincent & The Rage Concert Tickets ordered: ________ Date Ticket Order Form Was Sent: _____________ Amount of Payment: _____________ Check #: _____________ March 6, 2015 • 7:30 p.m. •The Grand Theatre •26 N. 6 th St., Keokuk Iowa 10 10 10 10 11 11 11 11 9 9 9 9 9 8 8 8 8 8 X X X X 11 10 9 X X X X 9 X X X 10 11 X X X X X X X 7 7 7 X 7 X 5 4 3 2 X X X X X X X X X X X X 5 X 5 5 5 5 5 3 X X X X X X X X X X X X X X X X X X X X X X 2 4 3 X X X X X X X X X X X X 1 1 X X X X X X X X X X X X ______Handicap Seating_____ 6 6 6 6 6 RIGHT X = Seat is unavailable As of February 6, 2015 A B C D E F G H J K L M N X X X X X X X X X X X 1 X X X X X X X X X X X 2 X X X X X X X X X X X 3 X X X X X X X X X X X 4 X X X X X X X X X X X 5 X X X X X X X X X X X 6 X X X X X X X X X X X 7 CENTER X X X X X X X X X X X 8 X X X X X X X X X X X 9 Main Level Seating Chart The Grand Theater X X X X X X X X X X X 10 STAGE A B C D E F G H J K L M N 2 3 4 5 6 X X X X X X X X X X X X 1 X X X X X X X X X X X X 2 X X X X X X X X X 3 X X X X X X X X X X X X X X 3 6 X X X X X X X X X X X X X 6 6 6 6 5 5 5 5 X 4 ______Handicap Seating______ 1 7 7 7 7 7 7 7 8 8 8 8 8 8 8 10 10 10 10 10 11 11 11 11 11 10 X X X X X X 9 9 9 9 9 X 8 9 X X X X X X X X LEFT
© Copyright 2024 ExpyDoc