Please print out this form and fill it out.
Mail it to:  Shipping Dock Theatre, P.O. Box 92118, Rochester, NY 14692-0118

Regular $75 --
Seniors $67 (age 62 and up) --
Students $40 -- 

The Flex-Tix gives you amazing flexibility. $75 buys you 4 admissions--use one or two at a few shows, or all four for one performance. 

I would like _________ season Flex-Tix Regular subscription(s) at $75.00. 
I would like _________ season Flex-Tix Seniors subscription(s) at $67.00. 
I would like _________ season Flex-Tix Student subscription(s) at $40.00. 

Each subscription is good for four admissions (Good for any shows during the Regular Season, excluding New Year's Eve.  I have enclosed a check for $____________, payable to:  SHIPPING DOCK THEATRE, 70 Averill Avenue, Rochester, NY 14620

Name __________________________________________________________
Street __________________________________________________________
City, State, Zip ___________________________________________________
Phone __________________________________________________________
E-Mail __________________________________________________________

I prefer to charge my subscription(s) to my MasterCard or Visa (please circle one)
# ______  ______  ______  ______  Expiration Date ______  ______

Signature:

_______________________________________________________