Registration for the Grand Civil War Ball and/or Dance & Dress in High Society

Lackawanna Historical Society
Registration Form for the
6th annual Grand Civil War Ball, Sat. April 10, 2010 and/or
The Victorian Lady Undressed, Sun. April 11, 2010

Use this combined form to register for the Grand Civil War Ball and/or The Victorian Lady Undressed.
In order to save costs, tickets will not be mailed.
Instead, you should receive an email confirmation that we received your order.
The Grand Civil War Ball was sold out last year, so please register as soon as possible for the ball.
Advance registration required for The Victorian Lady Undressed fashion talk and tea in order to give the caterer an accurate count of those attending.
No tickets sold at the door for the Sunday event. All tickets non-refundable.

Costs:

Grand Civil War Ball / Dancing Tickets:	$35 if you are registering as an individual (no partner), or $60 if you are registering as a couple.
Grand Civil War Ball / Spectator (No access to the dance floor):	$5 for Lackawanna Historical Society members, or $7 for non-members.
The Victorian Lady Undressed	$30 per person before April 2nd $35 per person after April 2.

Name:	______________________________________________________________________
Address:	______________________________________________________________________
City, State, Zip:	______________________________________________________________________
Phone:	______________________________________________________________________
email:	______________________________________________________________________

Description	Quantity and Price	Amount
Grand Civil War Ball / Dancing (single person registration)	_____ number of single people at $35 per person	_______
Grand Civil War Ball / Dancing (registering as a couple)	_____ number of couples at $60 per couple	_______
Grand Civil War Ball / Spectator Tickets (non-dancing)	_____ number of LHS tickets $5 per member _____ number of non-member tickets at $7 per person	_______
The Victorian Lady Undressed (Victorian Tea, Fashion Show & Lecture)	_____ number of people at $30 per person ($35 after Apr 2)	_______
	Total ---->>	_______

Send this form along with a check made payable to:

Lackawanna Historical Society - Civil War Ball
232 Monroe Ave., Scranton, PA 18510

Thank You for your support!