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Movie Tickets Order Form
Your tickets will be mailed within 5 business days.

   
Theater
Price
(Each)
Number
Ordered
AMC/Lowes Theatres 8.50
Cinemark 8.00
Regal Entertainment Group (Edward, Regal Cinemas, & United Artist Theaters) 7.50
Wehrenberg Theatres 7.00

Submit Order - * - required items

First Name*:
Last Name*:

AAA Membership Number*:
c

Mailing Address

Street*:

City*:
State*:
Zip Code*:
Phone:
(Optional: Where we can contact you during business hours)
E-mail Address*:

Credit Card Information


Credit Card Number*:
Expiration Date*:
/
Credit Card Security Number *
The 3 or 4-digit security number appearing on the back of your card c
Street Number*
as it appears on your credit card statement - i.e., 555 Main - enter 555
5-digit zip code*
as it appears on your credit card statement

Order Info: A $5.50 certified mail fee is added to orders over $100.00. Orders are processed within 5 business days. Allow adequate time for mail delivery.

Submit Order


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