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Maddox Ball Interest Form
Hello all!
This form is used to see the general interest of the pharmacy student body who may be interested in attending the 2022- 2023 Maddox Ball. The Maddox Ball is a formal social/dance event open to all pharmacy students and faculty with invited guests.
* Indicates required question
Email
*
Your email
Name
Your answer
Class
P1
P2
P3
P4
Faculty
Clear selection
Maddox Ball tickets will range from:
Student = $35-50 (per ticket)
Faculty = $60-75 (per ticket)
1 ticket = 1 person
Projected date is Friday Jan. 13, 2023.
* Tickets prices have not been finalized *
*
Will be attending
Will NOT be attending
Maybe
Are you planning to bring a guest?
Yes
No
Clear selection
How many guests would you like to bring?
*An additional cost of $10 per guest (Ex. pharmacy student price $35 guest price would be $45)
1
2
Other:
Clear selection
Any suggestions, you would like the Maddox Ball committee to know:
Your answer
Submit
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