Complete this form to purchase your season, individual concert tickets or other items online.

You can pay by credit/debit card via secure iPaymenttm checkout. If you don't want to use the secure checkout, print the form and complete it and either mail it to us at the address below or FAX it to the FAX number below. Season membership tickets are mailed in late September prior to the 1st concert. All other items will generally ship the next business day.  PLEASE NOTE: If you are ordering more than one item below, make sure to click CONTINUE SHOPPING if you want to order more than one item.

All Tickets must be purchased 72 hours Prior to the Event

Quantity       Description                             Amount

William Kushner Society . . . . . . $3,000 (See Subscription Information)
Conductor's Circle . . . . . . .  . . . $1,000 (6 tickets to each concert)
Concert Master's Circle . . . . . . . . $500 (5 tickets to each concert)
Orchestra Circle . . . . . . .  . . . . . . $375 (4 tickets to each concert)
Artist's Circle . . . . . . . . . . . . . . . .$275 (3 tickets to each concert)
Flex-Pass Patron . . . . . . . . . . . . . $200 (See Subscription Information)
Patron . . . . . . . . . . . . . . . . . . . . . $175 (2 tickets to each concert)
General Adult . . . . . . . . . . . . . . . . $50 (1 ticket to each concert)
Student/Senior Citizen . . . .  . . . . . $35 (1 ticket to each concert)
POPs General Admission . . . .   . . $15 (General Admission Riser Ticket)
Discovery Series . . . .  . . . . . . . . . $20 (Good for all 4 Discovery events)
Concert Adult Single Concert . . .  . . . . . . . . . . . .   $15 (Please specify Concert Number)
Concert Student, Child, Senior Single Concert . . . . $10 (Please specify Concert Number)
Wild Beast Feast Adult . . . . . . . . $25 (Advanced Adult admission)
Wild Beast Feast Child .  . . . . . . .$10 (Advanced Children (6 - 14) admission)
Gators on the Geaux Poster . . . . $15 (Price includes shipping)
American Art Parade Book . . . . $35 (Plus $5 Shipping and Handling)
This is a secure order entry system through iPaymenttm. If you have any questions regarding your order, please do not hesitate to contact the Lake Charles Symphony offices at 337-433-1611. FAX this form after printing and completing if you don't want to order online to 337-433-1615. You can also mail the completed form to Lake Charles Symphony, P.O. Box 3102, Lake Charles, LA 70602. Be sure to include you check payable to Lake Charles Symphony or your credit card information if mailing or FAXing. Complete and Fax or mail the form below only if you are NOT ordering online.

Name ________________________________________         Total ______________________
(as you would like it to appear in the program)

Address ______________________________________

City ______________________________ State __________ ZIP ____________

Day Phone  (____ ) ______________  Evening Phone  (____ ) ________________
Method of Payment  (___ )  Check  ( ___)  VISA  (___ )  MasterCard  (___)  Discover   (____) AMEX

Account Number ___________________________________ Expires ___________

Name on Card ______________________________________

Signature _________________________________________
Make checks payable to: Lake Charles Symphony
Mail to: Membership Chairperson, P.O. Box 3102, Lake Charles, LA 70602
         If you are paying by credit card, you can FAX this form to 337.433.1615.
      Tickets will be mailed in late September. For information call 337.433.1611.

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