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Jamil Shrine Circus-Ticket Order Form P.O. Box 210578 Columbia, SC 29221-0578 Name: Address: City/State/Zip: Phone: Home: Work: Email:
Jamil Shrine Auditorium Friday, Feb., 10th 10:00 & 7:00 p.m.--
Sat., Feb., 11th 10:00 & 3:00 & 7:00 p.m.--
Sun. Feb., 12th 1:00 & 6:00 p.m.
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| Number of Tickets Adult Child Number Of Tickets: Price Per Ticket x $15.00 x $12.00 Total Amounts: Family Ticket: $40.00 2 adults & 3 children For special group rates call 772-9380 Total amount of check enclosed: |