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Name:_________________________________________________________
Address:_______________________________________________________
______________________________________________________________
City:_______________________________State:______ZIP
Code: _______
Would you like to be added to the MACH Newsletter mailing list? YES___
NO ___
| Adult |
Price:
$12.00
|
How many:
x __________
|
Subtotal:
=_________
|
| Seniors (60+) |
Price:
$9.00
|
How many:
x __________
|
Subtotal:
=_________
|
| Youth (16 & under) |
Price:
$9.00
|
How many:
x __________
|
Subtotal:
=_________
|
|
Groups of 10 or more:
|
|
|
|
| Adult |
Price:
$10.00
|
How many:
x __________
|
Subtotal:
=_________
|
| Seniors (60+) |
Price:
$7.00
|
How many:
x __________
|
Subtotal:
=_________
|
| Youth (16 & under) |
Price:
$7.00
|
How many:
x __________
|
Subtotal:
=_________
|
|
|
Grand Total:
|
_________
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Your tickets will be held under your name at the ticket
table
at the concert.
Please mail this form, plus a check or money order
payable to MACH
to the address below:
Madison Area Concert
Handbells
P.O. Box 44056
Madison, WI 53744-4056
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