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Simply print and complete this form and send it to:

Via Fax:
740.351.3414

Via US Mail to:
Vern Riffe Center for the Arts
Shawnee State University
940 Second Street
Portsmouth, OH 45662

Your name/names:__________________________________________

Street Address:___________________________________________

City:_____________________________________________________

State:________________________Zip:________________________

Business Phone________________Home Phone:_________________

Place(s) of Employment:___________________________________

Check the tickets that you would like to purchase:

Nine-Concert Subscription Quantity _____
Mini-Series: Broadway Quantity _____
Mini-Series: All That Jazz Quantity _____
Mini-Series: Footloose Quantity _____
Single Shows Quantity _____ Show Name _____
Single Shows Quantity _____ Show Name _____
Single Shows Quantity _____ Show Name _____
Single Shows Quantity _____ Show Name _____
Seat Location _____

 

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Shawnee State University
940 Second Street
Portsmouth, Ohio 45662-4344
To_SSU@shawnee.edu
740.351.4SSU
TTY: 740.351.3159

Last Updated:
02.06.2008 11:08 AM

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