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The New Victory Theater
209 West 42 Street
New York, NY 10036
(between Broadway and 8th Avenue)

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INTERPRETED PERFORMANCE ORDER FORM
TO ORDER TICKETS: Print & Complete this form and send form and payment to:

Hands On
c/o Prevor
159-00 Riverside Drive West, Apt. 7F
New York, NY 10032
(When ordering by credit card, you may send by Fax to 212-740-4157)

Name ___________________________________________________________________

Address _________________________________________________________________

City/State/Zip _____________________________________________________________

Phone________________________________________V or TTY /

E Mail:___________________________________________@______________________

**A Confirmation Card will be emailed or sent to you in the mail.

Order Tickets for 1 show or as many as you wish.
Include the total number of tickets per show in your order.

2008

 

2009

Cranked---
           Friday 1/16 @ 7:00 pm

____Total # Tickets @ $15.00

 **____ # Deaf persons in your party

Jason and the Argonauts ---
           Friday 1/30 @ 7:00 pm

____Total # Tickets @ $15.00

 **____ # Deaf persons in your party

Taoub ---
           Sunday 2/8 @ 12:00 noon

____Total # Tickets @ $15.00

 **____ # Deaf persons in your party

Henry V ---
          Saturday 3/7 @ 7:00 pm

____Total # Tickets @ $15.00

 **____ # Deaf persons in your party

La Famiglia Dimitri ---
           Sunday 4/5 @ 5:00 pm

____Total # Tickets @ $15.00

 **____ # Deaf persons in your party

Soledad Barrio and Noche Flamenca ---
           Friday 4/24 @ 7:00 pm

____Total # Tickets @ $15.00

 **____ # Deaf persons in your party

The Queen of Colors---
           Saturday 5/9 @ 11:00 am

____Total # Tickets @ $15.00

 **____ # Deaf persons in your party

Gamarjobat in "Rock 'n' Roll Penguin"---
           Friday 5/22 @ 7:00 pm

____Total # Tickets @ $15.00

 **____ # Deaf persons in your party

Tom Tom Club---
           Saturday 5/30 @ 2:00 pm

____Total # Tickets @ $15.00

 **____ # Deaf persons in your party
**This is for seating purposes only - preferential seating is given to Deaf patrons.
     All patrons are seated in the interpreted section.

$________ Total price for Tickets

$________ Tax-deductible contribution to Hands On

$________$1.50 per ticket Credit Card Service Charge
   (credit card orders only)

$________ GRAND TOTAL

___ Enclosed is my Check or Money Order. (Please make payable to Hands On)

___ I prefer to charge my order to:

___American Express ____Discover ____MasterCard ____Visa


Card Number:_____________________________________    Exp. Date:_____________

Signature (required)______________________________________________

**This is for seating purposes only - preferential seating is given to Deaf patrons.
     All patrons are seated in the interpreted section.

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