Print and mail registration to MASTER ARTS THEATRE, 75  77th St SW, Grand Rapids, MI 49548

OR, call to register by phone using a MasterCard or VISA! (616) 455-1001

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2010 - 2011 Registration Form: Season Subscriptions

Name(s) ______________________________________________________________

Address ______________________________________________________________

City ________________________   State __________ Zip + ____________

Phone ( _______ ) ___________-____________

Email _____________________@_________________

Season Subscription
Adults: _____@ $52 each
Seniors/Student: _____@ $48 each

Total: $ __________

Please include payment with order form:

Check/Money order for $ ________________ OR

Charge $ ______________ to my: VISA          MasterCard

(please circle one)

Card #: _____________________________________

Card Expiration date: ______/______/______
CVV Code: ______________ (3 digit on back of card)