Discount Movie Ticket Order Form

DISCOUNT MOVIE TICKET ORDER FORM

Texas Farm Bureau Member Services Corporation will accept money

orders or cashier checks for the exact amount of purchase only.

Nocredit card charges or personal checks.

Your order will be processed immediately upon receipt.

Make money order or cashier check payable to Texas Farm Bureau

Member Services Corporation and mail to:

Texas Farm Bureau Member Services Corporation

PO Box 2689, Waco, Texas76702-2689, Attn: Lakie McLennan

Tickets will not be refundedunder any circumstances!

You must enclose a self-addressed stamped envelope for mailing

your tickets. Your order will not be processed without it.

Print Name______

Print Address______

City______Zip Code______

Daytime Phone # ______County______

Member No.______

Theater Locations:

AMC Theaters$6.50

Austin

Barton Creek 14

Dallas/Fort Worth

Addison - Village on the Parkway 9

Arlington - The Parks at Arlington 18

Dallas - Valley View 16

Dallas - North Park 15

Ft Worth - Eastchase 9

Ft Worth - Palace 9

Frisco - Stonebriar 24

Garland - Firewheel 18

Grapevine - Grapevine Mills 30

Highland Village - Highland Village 12

Irving - Irving Mall 14

Mesquite -Mesquite 30

Houston

Houston - Gulf Pointe 30

Houston - Studio 30

Houston - Willowbrook 24

Humble - Deerbrook 24

Katy - Katy Mills 20

Spring -Spring 10

Stafford - Fountain 18

Sugar Land - First Colony 24

San Antonio

Rivercenter 11

Starplex Cinemas$5.00

Boerne

Luxury Cinemas 11

Corpus Christi

Stadium 16

El Paso

East Pointe Movies 12

Forney

Stadium 12

Fort Worth

Hulen Stadium 10

Irving

Cinemas 10

Lake Jackson

Brazos Stadium 14

Lake Worth

Movies 14

Mesquite

Cinemas 10

Rio Grande City

Stadium 10

Waco

Galaxy 16

Regal Cinemas, United ArtistsTheatres & Edwards Theatres$6.50

Amarillo

United Artists:

Amarillo Star Stadium 14 & IMAX

Austin

Regal Cinemas:

Arbor 8 at Great Hills

Gateway Stadium 16 & IMAX

Lakeline Mall 9

Metropolitan Stadium 14

Westgate Stadium 11

Beaumont

Regal Cinemas:

Star Stadium 12

Burleson

Regal Cinemas:

Burleson Movies Stadium 14

Dallas

United Artists:

Galaxy Theatre Stadium 10

Early

Regal Cinemas:

Heartland Stadium 8

Ft Worth

United Artists:

Fossil Creek Stadium 11

Grand Prairie

United Artists:

Grand Prairie 10

Houston

Edwards Theatres:

Greenway Grand Palace Stadium 24 &RPX

Houston Marq’E Stadium 23 & IMAX

West Oaks Mall Stadium 14 & RPX

Irving

Regal Cinemas:

MacArthur Marketplace Stadium 16

Killeen

Regal Cinemas:

Killeen Stadium 14

Laredo

Regal Cinemas:

Laredo Stadium 14 & PRX

LiveOak

Regal Cinemas:

Live Oak Stadium 18 & RPX

Longview

Regal Cinemas:

Longview Stadium 14 & PRX

Midland

Regal Cinemas:

Tall City Stadium 14 IMAX & PRX

Odessa

Regal Cinemas:

Permian Palace Stadium 11

San Antonio

Regal Cinemas:

Alamo Quarry Stadium 16

Cielo Vista Stadium 18 & RPX

Fiesta Stadium 16

Huebner Oaks Stadium 14 & RPX

Northwoods Stadium 14

Tyler

Regal Cinemas:

Tyler Rose Stadium 14

Waco

Regal Cinemas:

Jewel Stadium 16

Form revised on September 10, 2015