BOOKING REQUEST FORM
Please fill out the form below. You can Pay in Full, or simply provide a Booking Deposit of $150* for your
reservation.
Note: The number of tickets may be estimated at time of booking, but final numbers and payment of balance are
required no later than July 1st.
*There are NO REFUNDS on purchased tickets. Please select:
_______ Pay in Full
_______Booking Deposit
Group Name:_____________________________________________________________
Contact:_________________________________________________________________
Address:_________________________________________________________________
Phone:_________________________________Fax:______________________________
Email:___________________________________ Other:__________________________
Show Title:_______________________________________________________________
Date of Performance:___________________________ Time:______________________
Number of Tickets (Est.):________________________ X $10.00 = Total:_________________
Notes:__________________________________________________________________
If paying by check, please make your check payable to CSUN (in the memo, write TADW) and return it
and this booking request to:
California State University, Northridge
Department of Theatre
Attn: Doug Kaback
18111 Nordhoff St.
Northridge, CA 91330-8320
If paying by credit card, please contact Alicia at alicia.lawrence@csun.edu or (818) 677-3086.
A notice of receipt/reservation will be sent via email.
To be completed by TADW only:
Date Invoice received:________________________
Receipt Sent:____________
18111 Nordhoff Street – Northridge, California – 91330-8320
818.677.5811 phone // 818.677.2080 fax tadw@csun.edu // www.csun.edu/tadw