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Jazz (Dinner and a Show)
Children Under Age 5 are Free with a Paying Adult. Additional children Under Age 5 are $10 each.
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Name (First and Last)
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Your answer
Phone
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Your answer
Email
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Your answer
Table Reservation (8 per table; Table may be shared with other guests)
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How many Adults ($20/pp)?
How many students/children , Age 5 to 17 ($15/pp)?
How many HS band members ($10/pp)?
How many children under Age 5 with paying adult (FREE)?
How many add'l children under Age 5($10/pp)?
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How many Adults ($20/pp)?
How many students/children , Age 5 to 17 ($15/pp)?
How many HS band members ($10/pp)?
How many children under Age 5 with paying adult (FREE)?
How many add'l children under Age 5($10/pp)?
Total Number of Seats Purchased
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Your answer
Seller Name (First and Last)
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Your answer
Ticket# (if no ticket number, enter “none”).
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Your answer
Method of Payment (Cash, Check, or Credit Card/Paypal)
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Cash
Check - Checks payable to: Harrison Music Booster; Memo: Jazz Dinner Ticket#
Credit Card/PayPal - Link provided Next
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