Mid-Ohio Boogie Bash 2015

Registration Form

Note: If you would like to use PayPal, then this form is not needed. Please use “Get Your Ticket”, and indicate your purchase request at the bottom of the page. Thank-you.

 

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• Name - Ticket 1 First Last
• Address
  Street Address
  City State Zip
• Contact Information We will only email for items related to Mid-Ohio Boogie Bash. Phone Email
• Name - Button Information Enter your first name as you would like it to appear on your name button First Last
• Your Club Affillation
• Name - Ticket 2 First Last
• Address
  Street Address
  City State Zip
• Contact Information We will only email for items related to Mid-Ohio Boogie Bash. Phone Email
• Name - Button Information Enter your first name as you would like it to appear on your name button First Last
• Your Club Affillation

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We're sorry, however, Early-Bird Special Prices are no longer available.

after July 10th, 2015

Weekend Passes are $100.00 and Day Passes are $85.00

 

Ticket Type	Number of Tickets Requested
Weekend Pass		$100.00 each	$
Friday – Day Pass		$85.00 each	$
Saturday Day Pass		$85.00 each	$
Total			$

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Mail the filled out registration form, your check made out to “Mid-Ohio Boogie Bash”, and a self-addressed stamped business-size envelope to:

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Mark your calendar for Augist 6^th through August 8^th, 2015

Copyright © Mid-Ohio Boogie Club 2014