2018/19 ORDER FORM Order #:

Patron ID: THREE EASY WAYS TO ORDER

Web: kimmelcenter.org/Broadway1819

Mail/In Person: Broadway M–F 9am–5pm c/o Subscriber Services 230 S. Broad Street, Suite 800 Phone Philadelphia, PA 19102

Email Phone: 215.893.1955 Please let us know if your address, email and/or phone number has changed M–F 9am–5pm

SUBSCRIPTION PACKAGE CHOICE

Day Time Price Level # of Seats Cost per Package Total

1st choice ______x $______=______

2nd choice ______x $______=______If your first choice is not available, charge will be adjusted based on second choice.

PAYMENT (choose one) ENHANCE YOUR EXPERIENCE

Pay in full Purchase an exclusive Academy Gold Membership $ Pay in easy monthly installments by credit card. ($750 for the ENTIRE season!) *First payment includes optional donation payment in full, subsequent payments will be processed on the 11th day of each month, with a final Purchase Prepaid Parking ______x $22 = $ payment date of July 11, 2018. A nominal $5 fee per payment applies. (Please note that pre-paid parking for all Broadway shows, including those at the , is available at the Avenue of the Arts garage, located at 15th and Spruce Streets. The walk from the Avenue of the Arts garage to the Forrest Theatre, located at 11th and Walnut Streets is about five blocks.) American Express Mastercard VISA Discover Monthly payment plan–Add $5 per payment* = $ (Charge will appear as Ticket Philadelphia) Check made payable to: Ticket Philadelphia Processing Fee = $35.00

Grand Total $ Card Number Exp Special Instructions Name on Card (please print)

Signature (as it appears on card)

Broadway Philadelphia welcomes individuals with disabilities. The Academy of Music, Forrest Theatre and are wheelchair-accessible. Please All sales are final. No refunds, exchanges, or cancellations. Prices, productions, performance note that the Forrest Theatre does not have elevator access to the Mezzanine schedules, performers, and venue may change without notice. Your credit card will be charged Level. In order for us to best accommodate your request, please contact immediately upon Ticket Philadelphia’s receipt of your order. If we are unable to accommodate your Subscriber Services at 215.893.1955 or [email protected]. seating request, a full refund will be issued.

THANK YOU FOR YOUR ORDER!

Broadway Philadelphia is presented collaboratively by the Kimmel Center for the Performing Arts and