Name:

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Telephone:

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Email:

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Street address:

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City, State, Zip:

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Your ticket selection(s):

Please reserve _______ $25 per person tickets to enjoy the concert on the main floor level.

Please reserve _______ $15 per person tickets to enjoy event on blacony level.

I understand the need is great, however I cannot attend, but, please accept my donation of $_______

Names of your guests (if available):
1.

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2.

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3.

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4.

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If you need additional space for guest names, please print on the reverse side of this paper.
Questions? Contact Jim Schmitt at: schmittmn@comcast.net

PLEASE NOTE: TICKETS CANNOT BE HELD WITHOUT PAYMENT. Reservations will be honored in order of receipt, in your name, and provided "on call" the night of the concert. You will receive written or email confirmation immediately upon receipt of payment. Tickets purchased through Ticketmaster or at the PAC box office are subject to an additional processing fee at the time of the transaction.