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Page 11 · column 3 of 4 · from the scan, no model involved

RESERVATION FORM FOR
THE JOHNNY CASH SHOW
TO BENEFIT WAYSIDE THEATRE liN Performance: No. Ticket* _Super Patron Tickets at $ 100 00 -Patron Tickets at S50 00 -$25 00 Tickets __ $20 00 Tickets _SOLD h#tl _$10 00 Tickets My to* deductible contribution TOTAL 1:30 Performance: No. Tickets _$25 00 Tickets _$20 00 Tickets ■ SOLDkets _$10 00 Tickets My tax deductible contribution TOTAL Total __Includes ticket and reception with Mr and Mrs Cash _!Some as Super Patron Tickets <T Total
ALL TICKETS EXCEPT $10.00 ARE RESERVED SEATING
ON FIRST COME/FIRST SERVE BASIS Check enclosed---MasterCord or VISA 'circle one, MasterCard or VISA No._;_Exp Date _
NAME_TELEPHONE_'_ ADDRESS_ZIP_ Please mail to Wayside foundation for the Arts P O Bo* 260 Middletown VA 22645 All tickets will be mailed two (2) weeks prior to performance
Aft This performance is presentetl wuh the assistance of • of li imhester. Stephens { n\. ( hurle\m>% n. M ».
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