GENERAL TICKET REQUEST

The Practice of Compassion - October 17, 2010 (9:45 AM – 11:15 AM)

General tickets are available at a suggested donation of $50 or more per ticket for floor seats and $35 or more for bleacher seats. Floor seats are general chair seats. Bleacher seats are padded, wooden, bench-type seats with no backs. Tickets are available on a first come first served basis and the seats are NOT assigned seats.

Your generous donations will help sustain many programs and services Drepung Loseling offers in the field of education, meditation research, community service, and the preservation of Tibet’s highly endangered spiritual and cultural tradition in Tibetan refugee communities.

Please PRINT Clearly

Name:
Address:
City: / State/Province: / Zip:
Country (if not USA)
Primary Phone: / Cell Home Work
Alternate Phone: / Cell Home Work
Email:
Are you attending the International Conference for Tibetan Buddhism? / Yes No

Ticket Request:

Number of Floor Seat(s): / X $50 each = / $ SOLD OUT
Number of Bleacher Seat(s): / X $35 each = / $
ADDITIONAL DONATION: / $
TOTAL DONATION: / $
Please HOLD my ticket(s) at DLM until 10-10-10 under the name of:
Please HOLD my ticket(s) at Will Call under the name of:

Payment Method: (Any payment must be made in full to complete your ticket request)

MC Visa Discover / Cash / Check No.
CC Number: / Expires: / CVC Code:
Name on Card:

Credit Card Billing Address if it is NOT the same as above:

Billing Address:
City: / State: / Zip:

I authorize Drepung Loseling Monastery, Inc. to charge my account above for the donation noted above.

Authorized Signature:

For Office Use Only Sequence No. Posted DB

Date Received: Time: ( AM / PM )

Tickets Assigned Floor: Bleacher:

Ticket(s) Received By: Date: