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MSA Event Tickets (Dayton)
A Stimulating Evening with Tushar Shukla & Kaajal Oza Vaidya
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First Name
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Spouse Name
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Last Name
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Contact Number
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How many tickets? (at $20 each)
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Payment via Credit/Debit Card
For payment please go to (but make sure you return to the form and submit it):
https://www.paypal.com/cgi-bin/webscr?cmd=_donations&business=h4patel4@gmail.com&lc=US&item_name=Tickets+for+Dayton+Event&no_note=0&cn=&curency_code=USD&bn=PP-DonationsBF:btn_donateCC_LG.gif:NonHosted
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Please call Kirit Patel at 765-977-2500 in case of any queries.
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