Woodtick Music Festival
Purchase by Mail form
 
Name:
 _____________________________________
Address:
 _____________________________________
City:
 _____________________________________

State:

 _____________________________________
Zip Code:
 _________________
Phone:
 __________________________
Email:
 _____________________________________
-------------------------------TICKETS------------------------------
Weekend Pass:
 Qty.______     @$40 each =   $__________
                    TOTAL TICKETS: $__________
----------------------------CAMPSITES----------------------------
How many Campsites:________       @ $40 each =    $_________
1st Choice:
 Row:_____    Site(s)#: _______   Sec.______
2nd Choice:
 Row:_____    Site(s)#: _______   Sec.______
------------------CREDIT CARD INFORMATION-------------------
(if paying by credit card)
Card Type:
Mastercard      Visa
Card Number:
____________________________________
Expiration Date:
______________________
TOTAL SALE: $__________

Simply print, complete and mail this form to:
Woodtick Music Festival
P.O. Box 155
Hermansville, MI 49847

Make checks payable to: Media Productions, Inc.