MTC SEASON 2017 – BOOKING FORM Before completing this form, please consider using our easy online booking service at mtc.com.au/subscriptions Please note, Subscribers wishing to sit together must submit booking forms together.
1. SUBSCRIBER DETAILS Your Details:
2016 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
Full-time Student#
8
7 Price type:
Full
Under 30#
Seniors Card No#.
Pensioner Card No#.
SUBSCRIBER NO. 2: Title Name Email Package Size:
Surname D.O.B (optional)
Mobile No. 11
9
Full-time Student#
8
7 Price type:
Full
Under 30
Seniors Card No#.
Pensioner Card No#.
Email
Surname D.O.B (optional)
Mobile No. 11
9
Full-time Student# Household 2:
8
7 Price type:
Full
Under 30#
University of Melbourne Employee#
Seniors Card No#.
Pensioner Card No#.
2016 Subscriber Member Donor ($1,000+) New Subscriber Account No.
Street
Suburb Postcode
Phone (H)
Previous address
SUBSCRIBER NO. 1: Title Name Email Package Size:
University of Melbourne Employee#
#
SUBSCRIBER NO. 3: Title Name Package Size:
University of Melbourne Employee#
Surname D.O.B (optional)
Mobile No. 11
9
8
7 Price type:
Full
Under 30#
University of Melbourne Employee#
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
Full-time Student#
8
7 Price type:
Full
Under 30 #
Seniors Card No#.
University of Melbourne Employee# Pensioner Card No#.
If you are booking for more than two households, please attach their details 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
Wheelchair Space
Please detail any access related seating requests:
Auslan - Please let us know if you are interested in this service so that we can contact you once 2017 dates are finalised. # 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: 9317
Order # Mail Email
Processed By: Sent:
2. PERFORMANCES THE PLAYS – choose a minimum of 7 productions for your 2017 subscription package YOUR TICKETS No. of package tickets
Born Yesterday
John
Faith Healer
Three Little Words
Minnie & Liraz
Macbeth
Noises Off
Di and Viv and Rose
Hay Fever
The Father
Vivid White
No. of additional tickets
HOUSEHOLD 2 No. of package tickets
No. of additional tickets
TOTAL TICKETS
DAY / DATE / TIME 1st Preference Eg. Mon 23 Jan 6.30pm
Seniors# and Groups of 10 or more‡ Previews & Weekday Matinees
Monday to Thursday Evenings Friday Evening & Saturday Performances
@ $455
@ $518
@ $567
@ $520
@ $592
@ $648
@ $585
@ $666
@ $729
@ $627
@ $726
@ $803
@ $75
$
@ $87
$
@ $88
$
@ $62
$
@ $79
$
@ $85
$
@ $38
$
Pensioners, Full-time Students, University of Melbourne Staff # Previews & Weekday Matinees
Monday to Thursday Evenings Friday Evening & Saturday Performances
@ $385
@ $483
@ $532
@ $440
@ $552
@ $608
@ $495
@ $621
@ $684
@ $539
@ $671
@ $748
People under 30 All Performances
@ $245
@ $280
@ $315
*Exclusive to MTC Donors giving $1,000+ ‡ †† # Conditions apply – see pages 50 and 51 of the Season brochure for more information.
STEP 3 TOTAL
$
@ $330
4. MEMBERSHIP, DONATIONS, VOUCHERS MTC Club Membership Fast-track your subscription and enjoy exclusive benefits with an MTC Club membership Double (two people in the same household) @ $400 Individual @ $250
$
Donations Help your MTC continue to transform lives and make the finest theatre imaginable. See page 32 of the Season brochure for more information on becoming an MTC Donor. $5,000 $2,500 $1,000 $500 $100 $Other
$
Vouchers Gift Vouchers: Purchase an MTC Gift Voucher of any value for family and friends ^.
$
Programme Vouchers: programmes are now available in foyers for a gold coin donation, therefore it is no longer necessary to pre-order programme vouchers with your subscription.
Please consider rounding up your total as a valued donation to MTC. Donations over $2 are tax deductible.
STEP 4 TOTAL
$
GRAND TOTAL
$
5. PAYMENT Cheque enclosed
Payee 1
Visa
Mastercard
Credit card in full
Credit card instalments^
Amex (include $15 handling fee if paying by instalments)
Name on card
Signature |
Card No. Expiry
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Cheque enclosed Mastercard
Credit card in full
Expiry
TOTAL
$
Amex (include $15 handling fee if paying by instalments)
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Cheque enclosed
Payee 3
Mastercard
Credit card in full
TOTAL
$
Credit card instalments^
Amex (include $15 handling fee if paying by instalments)
Name on card
Expiry
Signature |
Card No.
Card No.
|
Credit card instalments^
Name on card
Visa
|
Payee 2
Visa
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Signature |
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TOTAL
$
I have included Pensioner/Senior 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. ^ Included in your total charge will be a $15 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 6 January, 6 April and 6 June 2017. See pages 50 and 51 of the Season brochure for more information.
RETURN VIA BY MAIL
OR TO THE SOUTHBANK THEATRE DROP BOX
OR BOOK ONLINE
MTC Subscriptions PO Box 918 South Melbourne VIC 3205