Gift Certificate

This certificate entitles: _____________________________________

to  $    Redeemable for Theatre Victoria Productions

From:  

Authorized by:
Expires by:
Number:
Not redeemable for cash. Redemption value not to exceed $00.00

 

 

 

 

 

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Street:  

City, State Zip:  

Phone:  

After printing this page send or bring the form with a check or credit card information to :

 

Theatre Victoria
PO Box 1365
Victoria TX 77902-1365

 Credit card must be Visa or MasterCard (Circle one)

Card Number:_____________________________
Expiration Date:____________________________

Name on card:_____________________________