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Name:

Address:

City:

State:

Zip:

Email:

Phone:

I am a(n)

Please specify the number of individual tickets you would like to purchase below. The cost for each ticket is $50

Number of Individual Tickets ($50/Each)

Names of individuals you are purchasing tickets for: (Please separate each with a comma). 

Dietary Restrictions (Please list who and the restriction) 

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Questions? Call 254-659-7808