Worcester Kiltie Band
Annual Robert Burns Dinner
Ticket Order Form
Name:_______________________
Address:_______________________
_______________________________

[ ] Check here for Vegetarian Dinner

Please mail order form along with payment and self-addressed stamped envelope to:
Mechanics Hall Box Office 321 Main Street Worcester, Ma. 01608

Please make check payable to the "Mechanics Hall Box Office"



Tickets
Dinner and concert
Adult/Student -----------------------------------------------_____X $49=_________Total
Child (17 and under)---------------------------------------- _____X $30=_________Total
Reserved Table(10 people)--------------------------------- _____ X $440=________Total($50 savings)

Floor Seating(Allows access to bar)
Adult ------------------------------------------------------_____X $37=_________ Total
Student(w/college ID) --------------------------------------_____X $20=_________Total
Child (17 and under)---------------------------------------_____X $10=_________ Total
Reserved Table(10 people)---------------------------------_____X $330=________Total($40 savings)

Balcony Seating
Adult ------------------------------------------------------_____X $27=_________Total
Student(w/college ID) --------------------------------------_____X $20=_________Total
Child (17 and under)---------------------------------------_____X $10=_________Total


Total Amount Enclosed-----------------------------------------------------------_________Grand Total