First Name
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Number of tickets at 20 pp
Total to be charged
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Affiliation to the school
Additional Comments
A Night of Laughter
to Benefit
The Elija School for Children with Autism
June 5th 2008
Governor's Comedy Club
90 Division Avenue, Levittown NY 11756
Seating at 7:30 PM Show Begins 8:00 PM

$20.00 Per Person, 2 Beverage Minimum , 21 and Over

ONLINE CREDIT CARD FORM
TICKETS WILL BE MAILED TO YOU
PLEASE ORDER BY JUNE 2, 2008