Name under which tickets should be held at Will Call: *

First Name

Last Name

Phone *

(###)

###

####

CREDIT CARD INFORMATION *

To secure your reservation, a credit card must be kept on file. Your credit card will only be charged in the case of a 'no show' reservation. Payment in cash is due at the time of the performance. If you would like to cancel or change your reservation, please email danceloftlb@gmail.com no later than one week prior to your reserved performance.

First Name

Last Name

Expiration Date *

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country