Print this TICKET ORDER FORM

Mail with payment (check or money order payable to Ohio Gourd Society - Music) to:

Terry Sipple, Treasurer
3932 US RT 127
Greenville, OH 45331

(Please Print)

Name _______________________________________________________________________________

Address _______________________________________________________________________________

City ______________________ State ________Zip

Phone (____ )_________________

email:___________________________________________________________________________

Hog Roast (Regular or Vegi): $12 per person
Number of Hog Roast: _____________@ $12.00 ea = $____________
Number of Vegi Hog Roast: _____________@ $12.00 ea = $____________
         
Concert Ticket price: $10.00 per person.
Number of Concert Tickets: __________@ $10.00 ea. = $____________

Total enclosed $__________________

Make Check, Money Order payable to Ohio Gourd Society - Music

All pre-ordered tickets will be held at the door.
Thank you.

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Updated 8/30/2002