MTC SEASON 2016 â BOOKING FORM
MTC SEASON 2016 – BOOKING FORM Complete this form through steps 1 to 5 and return by mail or via the dropbox at Southbank Theatre. Subscribers wishing to sit together must submit booking forms together.
1. SUBSCRIBER DETAILS Your Details:
2015 Subscriber Member Donor ($1,000+) New Subscriber Account No.
Street
Suburb Postcode
Phone (H)
Previous address
SUBSCRIBER NO. 1: Title Name Email Package size:
Surname D.O.B (optional)
Mobile No. 11
9
8
7
Price type: Full Under 30#
Full-time Student# Seniors Card No#.
Pensioner Card No#.
SUBSCRIBER NO. 2: Title Name Email Package size:
Surname D.O.B (optional)
Mobile No. 11
9
8
7
Price type: Full Under 30#
Full-time Student# Seniors Card No#. SUBSCRIBER NO. 3: Title
Name
Surname D.O.B (optional)
Mobile No. 11
9
8
7
Price type: Full Under 30 #
Full-time Student# Seniors Card No#. Household 2:
2015 Subscriber Member Donor ($1,000+) New Subscriber Account No.
Suburb Postcode
Phone (H)
Previous address
SUBSCRIBER NO. 1: Title Name Email
Surname D.O.B (optional)
Mobile No. 11
9
8
7
Price type: Full Under 30#
Full-time Student# Seniors Card No#.
University of Melb0urne employee# Pensioner Card No#.
SUBSCRIBER NO. 2: Title Name Email Package size:
University of Melb0urne employee# Pensioner Card No#.
Street
Package size:
University of Melb0urne employee# Pensioner Card No#.
Email Package size:
University of Melb0urne employee#
Surname D.O.B (optional)
Mobile No. 11
9
8
7
Price type: Full Under 30 #
Full-time Student# Seniors Card No#.
University of Melb0urne employee# Pensioner Card No#.
If you are booking for more than two households, please attach their details on the extra booking form in the brochure, by photocopying this form or downloading an additional form from mtc.com.au/subscriptions SEATING PREFERENCE:
ACCESS NEEDS:
Playhouse: Stalls Circle
Hard of Hearing
Wheelchair Transfer
Limited Steps
Captioning
Low Vision
Audio Description
Auslan
Wheelchair Space
Please detail any access related seating requests:
Valid at the time of booking – Pensioners and Seniors must provide card number. Students must provide proof of full-time enrolment. Under 30s must provide proof of age. University of Melbourne employees must attach proof of employment. #
OFFICE USE ONLY Date: Source: 7154
Order # Mail Email
Processed By: Sent:
2. PERFORMANCES THE PLAYS – choose a minimum of 7 productions for your 2016 subscription package YOUR TICKETS No. of package tickets
No. of additional tickets
HOUSEHOLD 2 No. of package tickets
Ladies in Black
Lungs
The Distance
Miss Julie
Straight White Men
Double Indemnity
Skylight
Jasper Jones
Disgraced
Switzerland
The Odd Couple
THE SEASON OFFERS Lilith: The Jungle Girl
n/a
n/a
Egg
n/a
n/a
No. of additional tickets
TOTAL TICKETS
DAY / DATE / TIME 1st Preference Eg. Mon 19 Jan 6.30pm
2nd Preference Eg. Thur 29 Jan 8pm
3. PACKAGES & TICKETS PACKAGES
7 PLAYS
8 PLAYS
ADDITIONAL TICKETS
9 PLAYS
FULL SEASON 11 PLAYS
LADIES IN BLACK, THE ODD COUPLE, DOUBLE INDEMNITY
TOTAL
ALL OTHER SHOWS
Full price Previews & Weekday Matinees
Monday to Thursday Evenings
Friday Eve. & Saturday Performances
Opening Nights*
@ $462 @ $525 @ $560 @ $791
@ $528 @ $600 @ $640 @ $904
@ $594 @ $675 @ $720 @$1,017
@ $638 @ $737 @ $781
@$1,243
@ $82 @ $84 @ $84
n/a
@ $76
$
@ $83
$
@ $84
$
n/a
$
@ $71
$
@ $82
$
@ $83
$
@ $58
$
@ $75
$
@ $80
$
@ $35
$
Seniors# and Groups of 10 or more~ Previews & Weekday Matinees
Monday to Thursday Evenings
Friday Eve. & Saturday Performances
@ $427 @ $490 @ $532
@ $488 @ $560 @ $608
@ $549 @ $630 @ $684
@ $594 @ $682 @ $759
@ $77 @ $84 @ $84
Pensioners, Full-time Students, University of Melbourne Staff # Previews & Weekday Matinees
Monday to Thursday Evenings
Friday Eve. & Saturday Performances
@ $364 @ $455 @ $504
@ $416 @ $520 @ $576
@ $468 @ $585 @ $648
@ $506 @ $627 @ $704
@ $64 @ $81 @ $84
People under 30 All performances
@ $231
@ $264
@ $297
@ $308
@ $41
*Exclusive to MTC Donors giving $1,000+
THE SEASON OFFERS
TOTAL
Lilith: The Jungle Girl NEON NEXT Full Price and Seniors
@ $45
Pensioners, Concessions, Full-time Students, University of Melbourne Staff
@ $35
People under 30
@ $30
STEP 3 TOTAL (Packages plus Season offers)
Egg MTC Family show
All tickets @ $33
$
$
4. MEMBERSHIP, DONATIONS, VOUCHERS Membership Individual @ $250
$
Help us continue to transform lives and make the finest theatre imaginable. See page 40 of the Season brochure for more information on becoming an MTC Donor. Tax-deductible donations: $5,000 $2,500 $1,000 $500 $ Other
$
MTC Members
Joint (two people in the same household) @ $400
Donations
Vouchers Programme Vouchers: Pre-purchase your mainstage programme vouchers and save $2 on each $ (valid for Season 2016 and cannot be exchanged or refunded) @$10ea Gift Vouchers: Purchase an MTC Gift Voucher of any value for family and friends (See instalment payment conditions below)
Please consider rounding up your total as a valued donation to MTC. Donations over $2 are tax deductible.
$ TOTAL (STEPS 3 & 4)
$
GRAND TOTAL
$
5. PAYMENT Cheque enclosed
Payee 1
Visa
Mastercard
Credit card in full
Amex (include $14 handling fee if paying by instalments)
Name on card
Signature |
Card No. Expiry
|
|
|
|
|
|
|
|
Cheque enclosed Mastercard
Credit card in full
Expiry
TOTAL
$
Credit card instalments^
|
|
|
|
|
|
|
|
|
|
|
Cheque enclosed
Payee 3
Mastercard
Credit card in full
TOTAL
$
Credit card instalments^
Amex (include $14 handling fee if paying by instalments)
Name on card
Expiry
|
Signature |
Card No.
Card No.
|
Amex (include $14 handling fee if paying by instalments)
Name on card
Visa
|
Payee 2
Visa
Credit card instalments^
Signature |
|
|
|
|
|
|
|
|
|
|
|
TOTAL
$
I have included Pensioner/Seniors card numbers or copies of ID indicating age under 30 years, full-time student enrolment status or University of Melbourne proof of employment as appropriate. ¸ ^ ‡ †† # Conditions apply – see pages 54 and 55 of the Season brochure for more information. * Excluding opening night.
^ Credit card instalments – included in your total charge will be a $14 handling fee per credit card used. The first instalment, including any Gift Voucher amounts, is payable when you subscribe with the remaining instalments due on 8 January, 8 April and 8 June 2016.
RETURN BY MAIL
OR TO THE SOUTHBANK THEATRE DROP BOX
OR BOOK ONLINE
MTC Subscriptions, PO Box 918, South Melbourne VIC 3205
Southbank Theatre, 140 Southbank Blvd. Southbank VIC 3006
Book online at mtc.com.au/subscriptions
1. SUBSCRIBER DETAILS Your Details:
2015 Subscriber Member Donor ($1,000+) New Subscriber Account No.
Street
Suburb Postcode
Phone (H)
Previous address
SUBSCRIBER NO. 1: Title Name Email Package size:
Surname D.O.B (optional)
Mobile No. 11
9
8
7
Price type: Full Under 30#
Full-time Student# Seniors Card No#.
Pensioner Card No#.
SUBSCRIBER NO. 2: Title Name Email Package size:
Surname D.O.B (optional)
Mobile No. 11
9
8
7
Price type: Full Under 30#
Full-time Student# Seniors Card No#. SUBSCRIBER NO. 3: Title
Name
Surname D.O.B (optional)
Mobile No. 11
9
8
7
Price type: Full Under 30 #
Full-time Student# Seniors Card No#. Household 2:
2015 Subscriber Member Donor ($1,000+) New Subscriber Account No.
Suburb Postcode
Phone (H)
Previous address
SUBSCRIBER NO. 1: Title Name Email
Surname D.O.B (optional)
Mobile No. 11
9
8
7
Price type: Full Under 30#
Full-time Student# Seniors Card No#.
University of Melb0urne employee# Pensioner Card No#.
SUBSCRIBER NO. 2: Title Name Email Package size:
University of Melb0urne employee# Pensioner Card No#.
Street
Package size:
University of Melb0urne employee# Pensioner Card No#.
Email Package size:
University of Melb0urne employee#
Surname D.O.B (optional)
Mobile No. 11
9
8
7
Price type: Full Under 30 #
Full-time Student# Seniors Card No#.
University of Melb0urne employee# Pensioner Card No#.
If you are booking for more than two households, please attach their details on the extra booking form in the brochure, by photocopying this form or downloading an additional form from mtc.com.au/subscriptions SEATING PREFERENCE:
ACCESS NEEDS:
Playhouse: Stalls Circle
Hard of Hearing
Wheelchair Transfer
Limited Steps
Captioning
Low Vision
Audio Description
Auslan
Wheelchair Space
Please detail any access related seating requests:
Valid at the time of booking – Pensioners and Seniors must provide card number. Students must provide proof of full-time enrolment. Under 30s must provide proof of age. University of Melbourne employees must attach proof of employment. #
OFFICE USE ONLY Date: Source: 7154
Order # Mail Email
Processed By: Sent:
2. PERFORMANCES THE PLAYS – choose a minimum of 7 productions for your 2016 subscription package YOUR TICKETS No. of package tickets
No. of additional tickets
HOUSEHOLD 2 No. of package tickets
Ladies in Black
Lungs
The Distance
Miss Julie
Straight White Men
Double Indemnity
Skylight
Jasper Jones
Disgraced
Switzerland
The Odd Couple
THE SEASON OFFERS Lilith: The Jungle Girl
n/a
n/a
Egg
n/a
n/a
No. of additional tickets
TOTAL TICKETS
DAY / DATE / TIME 1st Preference Eg. Mon 19 Jan 6.30pm
2nd Preference Eg. Thur 29 Jan 8pm
3. PACKAGES & TICKETS PACKAGES
7 PLAYS
8 PLAYS
ADDITIONAL TICKETS
9 PLAYS
FULL SEASON 11 PLAYS
LADIES IN BLACK, THE ODD COUPLE, DOUBLE INDEMNITY
TOTAL
ALL OTHER SHOWS
Full price Previews & Weekday Matinees
Monday to Thursday Evenings
Friday Eve. & Saturday Performances
Opening Nights*
@ $462 @ $525 @ $560 @ $791
@ $528 @ $600 @ $640 @ $904
@ $594 @ $675 @ $720 @$1,017
@ $638 @ $737 @ $781
@$1,243
@ $82 @ $84 @ $84
n/a
@ $76
$
@ $83
$
@ $84
$
n/a
$
@ $71
$
@ $82
$
@ $83
$
@ $58
$
@ $75
$
@ $80
$
@ $35
$
Seniors# and Groups of 10 or more~ Previews & Weekday Matinees
Monday to Thursday Evenings
Friday Eve. & Saturday Performances
@ $427 @ $490 @ $532
@ $488 @ $560 @ $608
@ $549 @ $630 @ $684
@ $594 @ $682 @ $759
@ $77 @ $84 @ $84
Pensioners, Full-time Students, University of Melbourne Staff # Previews & Weekday Matinees
Monday to Thursday Evenings
Friday Eve. & Saturday Performances
@ $364 @ $455 @ $504
@ $416 @ $520 @ $576
@ $468 @ $585 @ $648
@ $506 @ $627 @ $704
@ $64 @ $81 @ $84
People under 30 All performances
@ $231
@ $264
@ $297
@ $308
@ $41
*Exclusive to MTC Donors giving $1,000+
THE SEASON OFFERS
TOTAL
Lilith: The Jungle Girl NEON NEXT Full Price and Seniors
@ $45
Pensioners, Concessions, Full-time Students, University of Melbourne Staff
@ $35
People under 30
@ $30
STEP 3 TOTAL (Packages plus Season offers)
Egg MTC Family show
All tickets @ $33
$
$
4. MEMBERSHIP, DONATIONS, VOUCHERS Membership Individual @ $250
$
Help us continue to transform lives and make the finest theatre imaginable. See page 40 of the Season brochure for more information on becoming an MTC Donor. Tax-deductible donations: $5,000 $2,500 $1,000 $500 $ Other
$
MTC Members
Joint (two people in the same household) @ $400
Donations
Vouchers Programme Vouchers: Pre-purchase your mainstage programme vouchers and save $2 on each $ (valid for Season 2016 and cannot be exchanged or refunded) @$10ea Gift Vouchers: Purchase an MTC Gift Voucher of any value for family and friends (See instalment payment conditions below)
Please consider rounding up your total as a valued donation to MTC. Donations over $2 are tax deductible.
$ TOTAL (STEPS 3 & 4)
$
GRAND TOTAL
$
5. PAYMENT Cheque enclosed
Payee 1
Visa
Mastercard
Credit card in full
Amex (include $14 handling fee if paying by instalments)
Name on card
Signature |
Card No. Expiry
|
|
|
|
|
|
|
|
Cheque enclosed Mastercard
Credit card in full
Expiry
TOTAL
$
Credit card instalments^
|
|
|
|
|
|
|
|
|
|
|
Cheque enclosed
Payee 3
Mastercard
Credit card in full
TOTAL
$
Credit card instalments^
Amex (include $14 handling fee if paying by instalments)
Name on card
Expiry
|
Signature |
Card No.
Card No.
|
Amex (include $14 handling fee if paying by instalments)
Name on card
Visa
|
Payee 2
Visa
Credit card instalments^
Signature |
|
|
|
|
|
|
|
|
|
|
|
TOTAL
$
I have included Pensioner/Seniors card numbers or copies of ID indicating age under 30 years, full-time student enrolment status or University of Melbourne proof of employment as appropriate. ¸ ^ ‡ †† # Conditions apply – see pages 54 and 55 of the Season brochure for more information. * Excluding opening night.
^ Credit card instalments – included in your total charge will be a $14 handling fee per credit card used. The first instalment, including any Gift Voucher amounts, is payable when you subscribe with the remaining instalments due on 8 January, 8 April and 8 June 2016.
RETURN BY MAIL
OR TO THE SOUTHBANK THEATRE DROP BOX
OR BOOK ONLINE
MTC Subscriptions, PO Box 918, South Melbourne VIC 3205
Southbank Theatre, 140 Southbank Blvd. Southbank VIC 3006
Book online at mtc.com.au/subscriptions
