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Purchase & Claims Verification FORM
*
Indicates required field
1- Your Name
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First
Last
2- Mailing Address
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Line 1
Line 2
City
State
Zip Code
Country
3- Email Address
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4- Cell Ph #
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5. Write the TOTAL Number of Persons in your Party/Group
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5a- Choose Any ITEM (As you require)
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YOUTH ( 4 -12) Yrs. old ................... = $ 80.00
VIP Youth ( 4 - 12) Yrs. old .............. = $ 100.00
TEENS (13 -1 7) yrs. old .................... = $ 100.00
VIP-TEENS (13 - 17) yrs. old ........... = $ 120.00
Adult (18) + older ............................. = $ 150.00
VIP Adults (18) + older .................... = $ 250.00
Reserved table for (6) ................... = $ 1,100.00
Reserved table for (8) ................... = $ 1,400.00
Reserved Table ONLY ................... = $ 350.00
(1) Reserved PARKING Space........... = $ 10.00
NOTE. RESERVED TABLES INCLUDES YOUR TICKETS
6- (Be specific) How many of each ITEM do you require ?
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7- How will you claim your tickets etc.?
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I will collect my PAID Tickets at The Event Welcome Desk
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