Spring 2021 Masterworks Ticket Holder Form Name* First Last Email* Are you a Full Subscriber, Pick-3 (Trio) Subscriber, or a Single Ticket Holder?*Please select an optionFull SubscriberPick-3 (Trio)Single Ticket HolderI have tickets to:*Please select all that apply Masterworks IV Masterworks V Masterworks VI How many single or subscriptions tickets do you have per concert?*Please select an option12 or moreFor Masterworks IV, I would like to:*Please select an optionSwitch to Digital AccessDonate the value of my tickets (tax deductible)Receive a refund for my ticketsFor Masterworks V and/or VI, I would like to*Please select an optionSwitch to Digital AccessBe Assigned a Socially Distanced SeatDonate the value of my tickets (tax deductible)Receive a refund for my ticketsPlease contact our box office at info@qcso.org or 563.322.7276 if you require additional options.Digital Access requires only one ticket per household. Which of the available options would you like for your additional ticket(s) to Masterworks IV?*Please select an optionGift Digital Access to the concert(s) to a friend/family member who is not in my household.Donate the value of my ticket(s) to the QCSO (tax deductible).Receive a refund for the value of my additional ticket(s).Digital Access requires only one ticket per household. Which of the available options would you like for your additional ticket(s) to Masterworks V and/or VI?*Please select an optionGift Digital Access to the concert(s) to a friend/family member who is not in my household.Donate the value of my ticket(s) to the QCSO (tax deductible).Receive a refund for the value of my additional ticket(s).Please provide a First and Last Name of the friend/family member you would like to gift the additional digital access.*Please provide the Email Address of the friend/family member you would like to gift additional digital access.* Do you have any mobility limitations that would prevent you from sitting in the balcony?*Please select an optionYesNoWould you be willing to switch performance days/times to be assigned a better seat?*Please select an optionYesNoPLEASE NOTE: Space in the Loge & Premiere Loge on Saturday Evening is very limited. These ticket holders who are only able to attend on Saturday Evening may need to be moved out of the Loge and into the first rows of the first balcony to accommodate everyone. Please list any additional subscriber/ticket holders that you would feel comfortable sitting with non-socially distanced.*Groups of 4-5 people are possible. Sitting people together assists us in providing the best seating possible to all attendees. Confirmation from all parties must be provided before you will be seated together. If you only feel comfortable with people included within your ticket order, please write "None."If your total ticket value is greater than your selected options, would you like a partial refund or to donate the remaining value to the QCSO?*Please select an optionDonate the remaining value to the QCSO (tax deductible).Receive a refund of the ticket price difference.Additional Comments