Educational Order Form


	Step 1: Select Your Tickets Select Student or Faculty
	Student ($13.50/ticket) Faculty ($17.50/ticket)
	Select Your Performance
	Select Your Number of Tickets
	Total $


	Step 2: Mailing Address Information * Indicates required field
	Name*
	Mailing Address* City * State* Zip Code*
	Daytime Phone*
	Evening Phone*
	Cell Phone
	Email*


	Step 3: Credit Card Information * Indicates required field
	Name on Card*
	Billing Address* City * State * Zip Code*
	Card Type*
	Card Number*
	Expiration* Month Year


	Step 4: Select Your School Please Select From The Options Below
	University of Pittsburgh Carnegie Mellon University Duquesne University Carlow University Chatham University Point Park University Community College of Allegheny County Other: