ORDER DATE:
*BILL TO:
Organization:
Address:
City/State/Zip:
Attention:
Email:
Telephone:
REQUIRED INFORMATION
REQUIRED ACCOUNT INFORMATION
REQUIRED PAYMENT INFORMATION
Reserved Seating
Horizontal Vertical Picture Ticket
General Admission
Single Sets_______ Sheets_________ Books_______
Total Tickets Ordered _____________________________
Seating Chart
Email to: [email protected]
On File(Accurate Totals Required)
NEED BY DATE:
___________________________
Ticket to Read:
(Presentor, Performance, Title and Facility Name, etc.)
(Home Team) (Opponents)
Date Day Time Price Color
# of GA
Date Day Time Price
Color
# of GA
Special Instructions:
___________________________________
___________________________________
___________________________________
___________________________________
*Shipping Name & Address (if different from billing address)
Residential
___________________________________
___________________________________
___________________________________
______________________________________________________________________
Audit Stub: Circle Choice None 1 2
YES
Logo
Security Foil
Show Logo
Email art to:
Art On File
PLEASE CHECK BELOW IF APPLICABLE
Price On Ticket & Stub
2020
COMPUTIK ORDER FORM
2020
ARE YOU INTERESTED IN THE FOLLOWING PRODUCTS?
____ Ticket Envelopes
____ Tyvek Wristbands
____ Ticket Rack
____ 12 x 18” Posters
____ ID Badges w/ Lanyards
____ Programs / Playbills
____ Chinese Raffle Tickets
____ Raffle Ticket Books
____ Custom Roll Tickets
Purchase Order #
711 North A Street, Fort Smith, AR 72901
FAX 479-784-2122
Backprint
(sponsor advertising)
Ticket to Read:
(Presentor, Performance, Title and Facility Name, etc.)
(Home Team) (Opponents)
Credit Card Type
Sales Tax Exempt?
OR
NO
Email Tax Exempt Certificate to: [email protected]
Federal ID #
