“Ticket To Ride” Order FormJust complete this form and return with check to SMTD.
FULL FARE PACK - 5 Tickets per Pack
o (1) Pack o (2) Packs o (3) Packs o (4) Packs( ) Packs - specify number if over 4 packs.
Unit price is $15.002 packs: $30.00 - 3 Packs: $45.00 - 4 Packs: $60.00
o WITH GIFT ENVELOPE
Order Your SMTD “Ticket To Ride” Today!
Available in Full Fare Packs and Half Fare Packs:• Full fare packs include 5 tickets per pack.
• Half fare packs include 10 tickets per pack.• Available with a festive gift envelope.
Name: ______________________________________________
Address: ____________________________________________
City: ________________________________________________
State: ______________________ Zip: ____________________
Phone: ______________________________________________
E-Mail: ______________________________________________
Mail order form and check payable to:
SMTD110 E. Main St., Rockton, IL 61072
HALF FARE PACK - 10 Tickets per Pack
o (1) Pack o (2) Packs o (3) Packs o (4) Packs( ) Packs - specify number if over 4 packs.
Unit price is $15.002 packs: $30.00 - 3 Packs: $45.00 - 4 Packs: $60.00
o WITH GIFT ENVELOPE
“We’re Here To Get You There!”Serving the communities of South Beloit, Rockton, Roscoe and Rockton Township.
For Office Use Only:
Check No. _____________________
Bank Name: ___________________
Date Rec’d: ____________________
Initials: ________________________
Date Shipped: __________________
Shipped By: ____________________
Ticket #s: _______________________
________________________________
Check quantity under ticket of choice, or specify if more than four packs.
Your ride is one ticket away!
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