Paul Green School of Rock Fort Washington
425 A Delaware Drive, Fort Washington, PA 19034
 

Name & Full Address
  Home or Cell Phone
  Email Address
     
  Now Discounted!
Adult Tix @ $5		 # of tickets $
  Child Tix 7-13 FREE
w/ adult tix purchase		 # of tickets seating is on the floor in front
   
  Send my tickets to me by snail mail - I am adding $1 to my payment
 

I will pick my tickets up at the door the night of the concert
     
 

I cannot come to the concert but want to make a donation to this
wonderful music scholarship fund.
   
 

Please make your check out to the
BRACHIAL PLEXUS PALSY Brachialplexuspalsyfoundation.org
and send it to:
 Brachial Plexus Injuries Benefit Concert
c/o Francine Litz
339 Rosemary Avenue
Ambler, PA 19002

or pay with PAYPAL on the very next screen once you hit "submit"

Contact Francine for questions (215) 643-5913
  THANK YOU FOR SUPPORTING THE CHILDREN!