Dueling Pianos Ticket Form

First Name

Last Name

Subject

Phone

(###)

###

####

Address

Address where you want the tickets sent.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reserved Tables

Purchasing Reserved Table - Optional

Front Row Table (6 available) $450.00 for the table including your 8 tickets

2nd Row Table (8 available) $400.00 for the table including your 8 tickets

Other Reserved tables $360.00 for the table including your 8 tickets

How many tickets would you like to purchase

$45.00/Ticket (Includes dinner & the show)

Payment

Cash

Check (made payable to Pork Rind Festival)

Vemno

Tickets are pre-purchase only. Once the form is submitted we will contact you for payment and how you can receive your tickets..

Thank you! We will be in contact with you as soon as possible with details on how you will receive you tickets & payment.