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ORDER FORM for the Pastor's 10 Pack

- TICKETS

10 pack of prepaid tickets (physical tickets to give away)
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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parish or Church Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number (requested) REQUIRED Please fill out this field. Please enter a phone number.
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- CHOOSE YOUR PACKAGE
  
  Order Now REQUIRED 450.0 – Pastor's 10 prepaid ticket pack Please fill out this field.
  
  How many 10 Packs would you like to order? Please enter an integer (number) from 0 to 5.
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