Matinee Theatre Group Form Step 1 of 2 50% Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneMobile PhoneEmail* I would like to register and pay for an additional person. Yes No Additional Person Name Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Additional Person Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Additional Person Home PhoneAdditional Person Mobile PhoneAdditional Person Email * November 2, 2022 I will be taking the bus from: (select one)Buses are filled on a first-come, first-serve basis. We are happy to add additional buses, at additional locations if we have a minimum of 25 members from that location.Please selectBasking Ridge Country Club Bus - pick-up is 10:00amCanoe Brook Country Club Bus - pick-up is 10:15amPlease seat me with (optional) (Theatre Seating Only)1 Ticket 1 Show - Funny Girl Price: $250.00 Quantity: I would like to purchase more than 1 ticket Price: $250.00 Quantity: Purchase of more than 1 ticket at a price of $250 eachTotal $0.00 By clicking submit, I agree and submit to the following: Membership and tickets are non-refundable; Bonnie Brae is not responsible for tickets exchanged between members; the group exists for the benefit and support of Bonnie Brae, a registered 501c3 non-profit and a portion of the membership fee is tax deductible. I also acknowledge that I voluntarily participate in Bonnie Brae’s Matinee Theatre Group. I release, waive, discharge, indemnify, and hold harmless Bonnie Brae, its officers, agents, employees and volunteers.
