“ticket to ride” order form“ticket to ride” order form just complete this form and return...

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“Ticket To Ride” Order Form Just complete this form and return with check to SMTD. FULL FARE PACK - 5 Tickets per Pack o (1) Pack o (2) Packs o (3) Packs o (4) Packs ( ) Packs - specify number if over 4 packs. Unit price is $15.00 2 packs: $30.00 - 3 Packs: $45.00 - 4 Packs: $60.00 o WITH GIFT ENVELOPE Order Your SMTD “Ticket To Ride” Today! Available in Full Fare Packs and Half Fare Packs: • Full fare packs include 5 tickets per pack. • Half fare packs include 10 tickets per pack. • Available with a festive gift envelope. Name: ______________________________________________ Address: ____________________________________________ City: ________________________________________________ State: ______________________ Zip: ____________________ Phone: ______________________________________________ E-Mail: ______________________________________________ Mail order form and check payable to: SMTD 110 E. Main St., Rockton, IL 61072 HALF FARE PACK - 10 Tickets per Pack o (1) Pack o (2) Packs o (3) Packs o (4) Packs ( ) Packs - specify number if over 4 packs. Unit price is $15.00 2 packs: $30.00 - 3 Packs: $45.00 - 4 Packs: $60.00 o WITH GIFT ENVELOPE “We’re Here To Get You There!” Serving the communities of South Beloit, Rockton, Roscoe and Rockton Township. For Office Use Only: Check No. _____________________ Bank Name: ___________________ Date Rec’d: ____________________ Initials: ________________________ Date Shipped: __________________ Shipped By: ____________________ Ticket #s: _______________________ ________________________________ Check quantity under ticket of choice, or specify if more than four packs. Your ride is one ticket away!

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Page 1: “Ticket To Ride” Order Form“Ticket To Ride” Order Form Just complete this form and return with check to SMTD. FULL FARE PACK - 5 Tickets per Pack o (1) Pack o (2) Packs o (3)

“Ticket To Ride” Order FormJust complete this form and return with check to SMTD.

FULL FARE PACK - 5 Tickets per Pack

o (1) Pack o (2) Packs o (3) Packs o (4) Packs( ) Packs - specify number if over 4 packs.

Unit price is $15.002 packs: $30.00 - 3 Packs: $45.00 - 4 Packs: $60.00

o WITH GIFT ENVELOPE

Order Your SMTD “Ticket To Ride” Today!

Available in Full Fare Packs and Half Fare Packs:• Full fare packs include 5 tickets per pack.

• Half fare packs include 10 tickets per pack.• Available with a festive gift envelope.

Name: ______________________________________________

Address: ____________________________________________

City: ________________________________________________

State: ______________________ Zip: ____________________

Phone: ______________________________________________

E-Mail: ______________________________________________

Mail order form and check payable to:

SMTD110 E. Main St., Rockton, IL 61072

HALF FARE PACK - 10 Tickets per Pack

o (1) Pack o (2) Packs o (3) Packs o (4) Packs( ) Packs - specify number if over 4 packs.

Unit price is $15.002 packs: $30.00 - 3 Packs: $45.00 - 4 Packs: $60.00

o WITH GIFT ENVELOPE

“We’re Here To Get You There!”Serving the communities of South Beloit, Rockton, Roscoe and Rockton Township.

For Office Use Only:

Check No. _____________________

Bank Name: ___________________

Date Rec’d: ____________________

Initials: ________________________

Date Shipped: __________________

Shipped By: ____________________

Ticket #s: _______________________

________________________________

Check quantity under ticket of choice, or specify if more than four packs.

Your ride is one ticket away!