Friend of Alive @ Five – Pay Offline

Deadline to Sign Up: Friday, April 18

Only use this form if you prefer to receive an invoice or pay by check. If you would like to pay online, please complete the registration form here.

Email or call Leeann Crews with any questions: leeann@downtownfrederick.org or 301.698.8118.

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Name *

receive Email Name

Business/Organization

Name to be listed on Sponsor Banner *

We have limited space! 70 characters max, please.

Mailing Address where you would like to receive your tickets/season pass. *

Address Line 1

Address Line 2

City

StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Email *

Phone *

Select your Preference *

• 1 Season Pass, plus 21 Tickets – $300.00
• 42 Tickets – $300.00
• 2 Season Passes – $300.00
• Donation to support Downtown Frederick Partnership and Alive @ Five – $50.00

Total

Order Summary

Item	Quantity Qty	Total
There are no products selected.
Select your Preference – 1 Season Pass, plus 21 Tickets	1	$300.00
Select your Preference – 42 Tickets	1	$300.00
Select your Preference – 2 Season Passes	1	$300.00
Select your Preference – Donation to support Downtown Frederick Partnership and Alive @ Five	1	$50.00
Total		$0.00

$0.00

How would you like to pay? *

• No invoice needed – I will mail a check for the Total above
• Please send invoice

Submit