2010 AL CHYMIA SHRINE CIRCUS

SCHOOL PERFORMANCES

10:00 A.M.

TICKETS - $5.00

TEACHERS & CHAPERONES – NO CHARGE

PERFORMANCE YOU WOULD LIKE TO ATTEND.

___________________THURSDAY_______________FRIDAY

I AM ENCLOSING $___________FOR ______________TICKETS.

THERE WILL BE ___________TEACHERS AND CHAPERONES ATTENDING AS YOUR GUEST.

SCHOOL_______________________________________________

ADDRESS______________________________________________

CONTACT PERSON______________________________________

(Please Print)

SCHOOL TELEPHONE #__________________________________

SCHOOL FAX #__________________________________________

YOUR CELL #____________________________________________

FAX YOUR ORDER TO 901-377-7345

CALL US AT 377-7336 TO VERIFY WE RECEIVED YOUR FAX