
9070 Venice Blvd. Culver City, CA 90232
www.theactorsgang.com
(310) 838-4264 ext. #15
2008/2009 Flex Pass Order Form
Please Complete The Following
First: Last: |
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Address: Apt. |
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City: State: Zip: |
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Home Phone: Alt: |
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Email: |
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Special Instruction: |
Please Check One of the Following
- $ 75.00 Four Ticket Flex Pass
- $100.00 Six Ticket Flex Pass
- $125.00 Eight Ticket Flex Pass
- $150.00 Ten Ticket Flex Pass
- Donation $________________
If you wish to have your flex vouchers mailed to you please add an additional $5.00 and we will send them to you!
- $5.00 Yes, Mail My Vouchers
PAYMENT
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Circle One of the Following: Check Visa Mastercard AMEX |
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C.C.# exp. |
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Amount to be Charged: $ |
Please Sign Here_______________________________________
Thank you For Supporting The Actors’ Gang