Tickets Reservation Form

Group Tickets = orders of (10 or more) ... discounted at $12 each.
Early Bird Tickets = orders made in (Sept, Oct, Nov)..... $15 each.
December Tickets = orders made in (December) - by phone or at the door...$20 each.
(816-619-3499)

Type	Price	Quantity	Total	Purchase Tom's Inspirational CD's Click Here
Group Tickets (10 or more)
Early Bird Individual Ticket
December Individual Rate
Child Rate
		Grand Total	$ *

*Plus $1 for postage, processing & handling

Options for payment:

check

credit card

phone order

Checks:

Please print this order form and send with your check or money order to: Tom Jacobs - 7801 E 325th Street - Drexel, MO 64742-2514

Credit Card:

For your safety, no credit card transactions are made on line. This form notifies us of your order. We’ll call you for your credit card information.

Phone Order:

Call-in at 816-619-3499 (or long distance toll free): 1-888-463-7664

Personal data:

Name	Address
City	State	Zip
HM Phone	WK Phone
E-mail