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Order Request
After completing this form you will need to purchase your tickets via Paypal. Please contact Alicia Knickman at aknickman@jeffersoncountycasa.org if you have any questions.
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Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
T-Shirt Size -
If registering after August 16th t-shirt size is NOT guaranteed.
*
S
M
L
XL
2XL
3XL
If ordering additional tickets, please list names and t-shirt sizes below:
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