Name: ________________________________________________________________
Email: _________________________________________________________________
Address: _______________________________________________________________
City/State/Zip: ___________________________________________________________
Phone: ______________________________________________
Please reserve our subscription(s) for the Adult Story Series:
Well Aged Words and add us to the guest list for a reception with the artists
November 21, January 16 and March 27.
# of Subscriptions_____________
Amount Enclosed $_________________ ($45.00 each subscription)
Make checks payable to Open Hand Theater, Inc.
OR
Please Charge our VISA/MC/Discover #_______________________________
Exp. Date ___________/_________
Signature_____________________________________