ORDER FORM FOR BREAK-A-LEG DELIVERY
Please indicate your choice by circling your selection:
1 Rose--$4
2 Roses—$7
3 Roses--$9
6 Roses--$15
One Dozen Roses-$25
Coloring Book,
Crayons, and
Candy in a
Christmas
Stocking--$12
Package of Cocoa,
Candy Cane, and
Candy in a Coffee
Mug--$12
Leg Lamp—$45
Old-fashioned
radio--$30
Mailbox--$20
1 Rose--$4
2 Roses—$7
3 Roses--$9
6 Roses--$15
One Dozen Roses-$25
Coloring Book,
Crayons, and
Candy in a
Christmas
Stocking--$12
Package of Cocoa,
Candy Cane, and
Candy in a Coffee
Mug--$12
Leg Lamp—$45
Old-fashioned
radio--$30
Mailbox--$20
1 Rose--$4
2 Roses—$7
3 Roses--$9
6 Roses--$15
One Dozen Roses-$25
Coloring Book,
Crayons, and
Candy in a
Christmas
Stocking--$12
Package of Cocoa,
Candy Cane, and
Candy in a Coffee
Mug--$12
Leg Lamp—$45
Old-fashioned
radio--$30
Mailbox--$20
1 Rose--$4
2 Roses—$7
3 Roses--$9
6 Roses--$15
One Dozen Roses-$25
Coloring Book,
Crayons, and
Candy in a
Christmas
Stocking--$12
Package of Cocoa,
Candy Cane, and
Candy in a Coffee
Mug--$12
Leg Lamp—$45
Old-fashioned
radio--$30
Mailbox--$20
1 Rose--$4
2 Roses—$7
3 Roses--$9
6 Roses--$15
One Dozen Roses-$25
Coloring Book,
Crayons, and
Candy in a
Christmas
Stocking--$12
Package of Cocoa,
Candy Cane, and
Candy in a Coffee
Mug--$12
Leg Lamp—$45
Old-fashioned
radio--$30
Mailbox--$20
1 Rose--$4
2 Roses—$7
3 Roses--$9
6 Roses--$15
One Dozen Roses-$25
Coloring Book,
Crayons, and
Candy in a
Christmas
Stocking--$12
Package of Cocoa,
Candy Cane, and
Candy in a Coffee
Mug--$12
Leg Lamp—$45
Old-fashioned
radio--$30
Mailbox--$20
1 Rose--$4
2 Roses—$7
3 Roses--$9
6 Roses--$15
One Dozen Roses-$25
Coloring Book,
Crayons, and
Candy in a
Christmas
Stocking--$12
Package of Cocoa,
Candy Cane, and
Candy in a Coffee
Mug--$12
Leg Lamp—$45
Old-fashioned
radio--$30
Mailbox--$20
WED. 11/30
7:30 Preview
THURS. 12/1
7:30 Show
FRI. 12/2
7:30 Show
SAT. 12/3
2:00 Show
7:30 Show
SUN. 12/4
2:00 Show
TUES. 12/6
7:30 Show
THURS. 12/8
7:30 Show
1 Rose--$4
2 Roses—$7
3 Roses--$9
6 Roses--$15
One Dozen
Roses--$25
Coloring Book,
Crayons, and
Candy in a
Christmas
Stocking--$12
Package of
Cocoa, Candy
Cane, and Candy
in a Coffee Mug-$12
Leg Lamp—$45
Old-fashioned
radio--$30
Mailbox--$20
FRI. 12/9
7:30 Show
1 Rose--$4
2 Roses—$7
3 Roses--$9
6 Roses--$15
One Dozen Roses-$25
Coloring Book,
Crayons, and
Candy in a
Christmas
Stocking--$12
Package of Cocoa,
Candy Cane, and
Candy in a Coffee
Mug--$12
Leg Lamp—$45
Old-fashioned
radio--$30
Mailbox--$20
1 Rose--$4
2 Roses—$7
3 Roses--$9
6 Roses--$15
One Dozen Roses-$25
Coloring Book,
Crayons, and
Candy in a
Christmas
Stocking--$12
Package of Cocoa,
Candy Cane, and
Candy in a Coffee
Mug--$12
Leg Lamp—$45
Old-fashioned
radio--$30
Mailbox--$20
SAT. 12/10
2:00 Show
7:30 Show
SUN. 12/11
2:00 Show
20 inch Leg
Lamp--$45
Will be in
its original
box and
gift
wrapped
Christmas
Stocking with
coloring
book,
crayons, and
candy--$12
Merry Christmas OldFashioned Radio (Light and
Sound Décor)—$30--Plays
Deck The Halls, Jingle Bells, We
Wish You A Merry Christmas,
Silent Night, and Up on the
Housetop--Will be in a gift bag
Roses wrapped in
holiday tissue with a
candy cane
1 Rose--$4; 2 Roses-$7; 3 Roses--$9; 6
Roses--$15; 12 Roses-$25
Package of
Cocoa, Candy
Cane, and
Candy in a
Coffee Mug-$12
Mailbox
full of
Christmas
candy-$20
E-mail [email protected], call 417-880-4546, or drop this form by the SLT box
office to place your order.
To:___________________________________----- CAST
From:_________________________________
Note:
CREW
OTHER
I am attaching CASH CHECK #:_______ or PLEASE CHARGE VISA MC
DISCOVER AMEX#:
_______________________________________________________ Expiration date:__________ CVV:________
Thank you for supporting the Springfield Little Theatre Education Angels!