| SERIES: |
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| ORDER NO: |
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| CUST NO: |
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| NO.OF SEATS: |
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| Please reserve the same great
seats |
| Please move our reservation to even better seating
if available |
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I prefer: Booth Table Best Available AND
Desired Section |
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| I want to be a Gold Subscriber for an additional $25.00 per
person. |
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| PAYMENT: |
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| Charge My: |
Discover
Card Visa MasterCard |
| Card Number: |
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| Exp. Date: |
CID Code:
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| Amount To Charge: |
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| Patron
Information: |
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| Title: |
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| First Name: |
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| Last Name: |
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| Address: |
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| City: |
ST:
Zip:
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| Home Phone: |
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Work Phone: |
| Email Address: |
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Comments (if any):
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Confirmation of your renewal will be
your receipt of your tickets. If you have not received your tickets within
2 weeks please contact the Carousel Dinner Theatre Box Office.
330-724-9855
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