Your complete name (as it is to appear in the reimbursement check): *
Your answer
Your street address: *
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Your city and state *
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Your zip code: *
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Best telephone number to reach you in case there is a question: *
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Number of tickets purchased *
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Letter and seat number(s) of every ticket you purchased i.e. M103, M104 *
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Total cash value requested? *
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Please mail your tickets back to Addison Trail High School 213 N. Lombard Rd Addison, Il 60101 for reimbursement, ATTENTION JORGE DE LEON. NOTE: Please PRINT your name and contact information in the back of EVERY ticket. *
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